What is Ménière disease?

Updated: Mar 13, 2017
  • Author: Hesham M Samy, MD, PhD; Chief Editor: Robert A Egan, MD  more...
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Answer

Ménière disease is a disorder of the inner ear with typical symptoms of episodic vertigo, tinnitus, and hearing loss. Untreated, severe hearing loss and unilateral vestibular paresis are inevitable. Bilateral involvement occurs in about 25% of patients. The etiology is idiopathic in most cases and can also be hereditary, autoimmune, infectious, or allergic. The common pathophysiology is disordered fluid homeostasis in the inner ear, with endolymphatic hydrops representing a histologic footprint rather than an etiology.


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