Meniere’s Disease

Onset usually age 20 – 40

Duration of attacks 20 minutes to 24 hrs.

• BPPV attacks last <60 secs
• Labyrinthitis lasts longer, doesn’t recur

Diagnosis requires episodes of:

• Vertigo
• Sensorineural Hearing Loss
• Tinnitus (usually low-pitch) OR Sensation of Ear Fullness
• Document hearing loss by audiometry

Cogan’s Syndrome: very rare autoimmune condition

• Vertigo and Interstitial Keratitis
• Consider if Meniere’s patient gets bad eye pain

See posting Vertigo – 2.