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Meniere’s Disease: Experts Discuss Diagnosis and Treatment

by Thomas R. Collins •

Thomas R. Collins is a freelance medical writer based in Florida.

Take-Home Points

  • Audiogram is the only testing required for a diagnosis of Ménière’s disease, but other tests such as cVEMP and MRI could be needed for management.
  • There is evidence to suggest that treating patients with Ménière’s in the same way as vestibular migraine patients can be effective.
  • Written dietary guidance could help with compliance to restrictions.
  • A variety of systemic therapies, including gentamicin and betahistine, have varying evidence bases, so clinicians must tailor these treatments to patients.
  • Intratympanic gentamicin dosing and timing is still up for debate, with some researchers suggesting a titration approach over systematic injections.
  • Evidence varies for Ménière’s surgery approaches, and there is a wide variety in procedure complexity.