Diagnosis of Menière’s disease according to the criteria of 2015: Characteristics and challenges in 96 patients
- 2 May 2022
- journal article
- research article
- Published by IOS Press in Journal of Vestibular Research
- Vol. 32 (3), 271-283
- https://doi.org/10.3233/ves-201634
Abstract
BACKGROUND: The diagnosis of Menière’s disease (MD) is made according to diagnostic criteria, the last revision of which was in 2015. For diagnosis, symptoms are weighted with audiometric findings and this can be challenging in individual patients. OBJECTIVE: To analyze patient’s characteristics and symptoms in a real-life cohort of 96 patients with diagnosed MD regarding sociodemographic parameters, clinical specifics, and audiometry. METHODS: Prospective clinical patient registry containing demographic and socioeconomic parameters, symptoms, as well as pure-tone audiometry data. RESULTS: 31 patients with definite MD, and 36 with probable MD were identified. 29 patients showed typical clinical signs of MD, but did not meet the full diagnostic criteria, and were considered separately. Mean duration of symptoms prior to presentation was 3.9±4.6 years. Significant differences between categories were found regarding aural fullness, tinnitus, and fluctuating hearing. If multiple audiograms were available, 28.6 % (6/21) documented fluctuating hearing. CONCLUSIONS: Current diagnostic criteria probably do not represent patients with monosymptomatic presentation or an early stage very well. Long-term follow-up with repeated audiometry is advisable.This publication has 31 references indexed in Scilit:
- Higher Prevalence of Autoimmune Diseases and Longer Spells of Vertigo in Patients Affected With Familial Ménière's Disease: A Clinical Comparison of Familial and Sporadic Ménière's DiseaseAmerican Journal of Audiology, 2014
- Prevalence and Clinical Significance of Spontaneous Low-Frequency Air-Bone Gaps in Ménière’s DiseaseOtology & Neurotology, 2014
- Ménière's disease: a reappraisal supported by a variable latency of symptoms and the MRI visualisation of endolymphatic hydropsBMJ Open, 2013
- Current Epidemiology of Meniere's SyndromeOtolaryngologic Clinics of North America, 2010
- Current-Day Prevalence of Ménière’s SyndromeAudiology and Neurotology, 2010
- Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics supportJournal of Biomedical Informatics, 2008
- Personal Factors Involved in Onset or Progression of Ménière’s Disease and Low-Tone Sensorineural Hearing LossORL, 2005
- Prevalence of Allergy in Meniere's DiseaseOtolaryngology -- Head and Neck Surgery, 2000
- Committee on Hearing and Equilibrium Guidelines for the Diagnosis and Evaluation of Therapy in Meniere's Disease∗Otolaryngology -- Head and Neck Surgery, 1995
- The Famous Four and the Critical CommentaryActa Oto-Laryngologica, 1961