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The Clinical Significance of Fluctuating Hearing Loss With Vertigo

Arch Otolaryngol Head Neck Surg. 2005;131:457-459.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis: Fluctuating hearing loss with vertigo is almost always due to Meniere’s disease.

BACKGROUND

Since the initial description of Meniere’s disease by Prosper Meniere in 1861,¹ the disorder has been defined and redefined on several occasions by organizations such as the American Association of Otolaryngology–Head and Neck Surgery (AAO-HNS)² and the Japanese Society for Equilibrium Research.³ Intertwined with the evolution of our understanding of this disorder has been an increasing appreciation of an entity variously described as vestibular migraine, migraine-related vestibulopathy, or migrainous vertigo. Indeed it was Prosper Meniere himself in his original article who noted the association.

Figure appears in full text version. K. Paul Boyev, MD

Otolaryngologists who are confronted by a patient with episodic vertigo may still puzzle over a correct diagnosis because of the often-similar presentations of early Meniere’s and migrainous vertigo. Although guidelines exist for the diagnosis of Meniere’s disease, similar guidelines for the diagnosis of migrainous vertigo are in the early . . . [Full Text of this Article]

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AUTHOR INFORMATION

K. Paul Boyev, MD
Author Affiliations: Division of Otology/Neurotology, Hearing & Balance Center, Department of Otolaryngology–Head and Neck Surgery, University of South Florida, Tampa.

RELATED ARTICLE

Meniere’s Disease and Migraine
Lloyd B. Minor
Arch Otolaryngol Head Neck Surg. 2005;131(5):460.
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