This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Infectious Diseases  • Infectious Diseases, Other  • Neurology  • Neuro-otology  • Balance Disorders  • Middle/ External Ear Disorders  • Alert me on articles by topic

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

I submit observations from personal experience with my own Ménière's disease and report anecdotal case studies of my patients to seek corroboration from your specialty.

As an ophthalmologist, I frequently evaluate patients for a possible ocular contribution to "dizziness" symptoms that seem vertiginous. Review of systems almost always discloses a history of chronic sinus congestion, postnasal drip, frequent or chronic sinusitus, and/or allergies. One commonly affected group seems to be pilots and flight attendants. Often, their symptoms match the kind of vaguely "seasick" feeling I experience intermittently between true vertigo bouts with Ménière's disease.

Relying on the work of Ponikau et al¹ on possible fungal causes of chronic sinus disease and studies such as that of Tumarkin,² which supports eustachian tube dysfunction as a contributor to Ménière's disease, along with my own experience of delayed equalization on the affected side associated with seasonal and/or allergic timing of Ménière's disease attacks, . . . [Full Text of this Article]

AUTHOR INFORMATION
James J. McMillan, MD