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Meniere disease

Última revisão: 25 Jun 2025
Última atualização: 06 Feb 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • vertigo
  • hearing loss
  • tinnitus
  • aural fullness
  • drop attacks
Detalhes completos

Outros fatores diagnósticos

  • positive Romberg test
  • Fukuda stepping test
  • bilateral symptoms
  • nystagmus
  • tandem walk
Detalhes completos

Fatores de risco

  • recent viral infection
  • genetic predisposition
  • autoimmune disease
  • increasing age
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • pure-tone air and bone conduction with masking
  • speech audiometry
  • tympanometry/immittance/stapedial reflex levels
  • otoacoustic emissions (OAE)
Detalhes completos

Investigações a serem consideradas

  • electrocochleography
  • electronystagmography
  • rotary chair test
  • vestibular-evoked myogenic potential (VEMP)
  • MRI of internal auditory canals
  • thyroid function tests
  • Lyme disease and syphilis serology
  • antinuclear antibody
  • antineutrophil cytoplasmic antibody
  • rheumatoid factor
Detalhes completos

Novos exames

  • 3-dimensional MRI

Algoritmo de tratamento

AGUDA

all patients

CONTÍNUA

persistent hearing loss

failure of medical and intratympanic therapies; hearing adequate

failure of medical and intratympanic therapies; hearing severely impaired

Colaboradores

Autores

Soha N. Ghossaini, MD, FACS
Soha N. Ghossaini

Otology-Neurotology

Ear Nose and Throat Associates of New York

New York

NY

Declarações

SNG declares that she has no competing interests.

Agradecimentos

Dr Ghossaini would like to gratefully acknowledge the late Professor Maurice H. Miller, a previous contributor to this topic. MHM declared that he had no competing interests.

Revisores

Steven D. Rauch, MD

Associate Professor of Otology and Laryngology

Harvard Medical School

Boston

MA

Declarações

SDR declares that he has no competing interests.

Christopher J. Linstrom, MD

Professor

Otolaryngology/Head and Neck Surgery

The New York Eye and Ear Infirmary

Surgeon Director

New York

NY

Declarações

CJL declares that he has no competing interests.

Peter Rea, MA, BM BCh, FRCS(ORL-HNS)

Consultant ENT Surgeon

Leicester Royal Infirmary

Leicester

UK

Declarações

PR declares that he has no competing interests.

Doris Eva Bamiou, MD, MSc, PhD

Clinical Senior Lecturer & Consultant in Audiovestibular Medicine

Ear Institute

University College London

London

UK

Declarações

DEB declares that she has no competing interests.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Goebel JA. 2015 Equilibrium Committee amendment to the 1995 AAO-HNS guidelines for the definition of Ménière's disease. Otolaryngol Head Neck Surg. 2016 Mar;154(3):403-4. Resumo

Basura GJ, Adams ME, Monfared A, et al. Clinical practice guideline: Ménière's disease. Otolaryngol Head Neck Surg. 2020 Apr;162(suppl 2):S1-55.Texto completo  Resumo

Lopez-Escamez JA, Carey J, Chung WH, et al; Classification Committee of the Barany Society; Japan Society for Equilibrium Research; European Academy of Otology and Neurotology (EAONO); Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS); Korean Balance Society. Diagnostic criteria for Menière's disease. J Vestib Res. 2015;25(1):1-7.Texto completo  Resumo

American College of Radiology. ACR appropriateness criteria: hearing loss and/or vertigo. 2018 [internet publication].Texto completo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
  • Meniere disease images
  • Diagnósticos diferenciais

    • Acoustic neuroma
    • Vestibular migraine (also called migraine-associated dizziness and migraine-associated vertigo)
    • Vestibular neuronitis
    Mais Diagnósticos diferenciais
  • Diretrizes

    • Clinical practice guideline: Ménière's disease
    • Clinical practice guideline: sudden hearing loss (update)
    Mais Diretrizes
  • Folhetos informativos para os pacientes

    Tinnitus

    Meniere disease

    Mais Folhetos informativos para os pacientes
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