Korean J Otorhinolaryngol-Head Neck Surg.  2012 Aug;55(8):476-481. 10.3342/kjorl-hns.2012.55.8.476.

The Diagnosis Criteria of Meniere's Disease and Related Objective Tests

Affiliations
  • 1Sub-Committee on Meniere's Disease, Quality Control Committee, Korean Otologic Society, Seoul, Korea. schae@kumc.or.kr
  • 2Department of Otorhinolaryngology-Head & Neck Surgery, Dongguk University Ilsan Hospital, Goyang, Korea.
  • 3Department of Otorhinolaryngology, Seoul National University College of Medicine, Bundang Hospital, Seongnam, Korea.
  • 4Department of Otorhinolaryngology-Head & Neck Surgery, Inha University College of Medicine, Incheon, Korea.
  • 5Department of Otolaryngology-Head & Neck Surgery, Kyung Hee University College of Medicine, Seoul, Korea.
  • 6Department of Otolaryngology-Head & Neck Surgery, Gachon University of Medicine & Science, Incheon, Korea.
  • 7Department of Otorhinolaryngology-Head & Neck Surgery, Korea University College of Medicine, Seoul, Korea.

Abstract

The etiology and pathophysiology of Meniere's disease (MD) remain controversial and incompletely understood. Diagnosis of MD is decided according to the diagnostic criteria proposed by the American Academy of Otolaryngology-Head and Neck Surgery (AAO) (1995), which is based on clinical symptoms. It would be of great value to have an objective clinical test for the diagnosis of endolymphatic hydrops. Various tests like electrocochleography, vestibular evoke myogenic potential and cochlear hydrops analysis masking procedures have been applied for detecting endolymphatic hydrops. Any of single objective tests is not perfect for the diagnosis of MD. However, considering AAO guideline is not enough for the diagnosis, additive objective tests for MD become essential. We evaluated the objective tests for MD and also surveyed preferred tests among Korean otologic society members.

Keyword

Diagnosis; Guideline; Meniere's disease

MeSH Terms

Audiometry, Evoked Response
Edema
Endolymphatic Hydrops
Masks
Meniere Disease
Neck
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