Meniere Disease (Idiopathic Endolymphatic Hydrops) Differential Diagnoses

Updated: Jun 08, 2018
  • Author: John C Li, MD; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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DDx

Diagnostic Considerations

In order to introduce uniformity in the diagnosis and treatment of Ménière disease, the American Academy of Otolaryngology issued guidelines in 1972. These guidelines were revised in 1985 and again in 1995. [17] The guidelines require analysis of symptoms, audiometric results, and functional impairment to allow staging. This staging tool is now widely used diagnostically and also as a measure of treatment outcome.

Other problems to be considered include the following:

  • Trauma

  • Endocrine abnormalities

  • Thyroid dysfunction

  • Hyperlipidemia

  • Diabetes

  • Congenital anomalies

  • Autoimmune problems/inner ear inflammation

  • Cogan syndrome

  • Otosclerosis

  • Perilymphatic fistula

  • Electrolyte imbalance

  • Barre-Lieou syndrome

  • Basilar meningitis

  • Brainstem tumors

  • Neoplasms (especially those associated with cranial nerve VIII, eg, acoustic neuroma)

  • Toxic or pharmaceutical injury to the vestibular apparatus

  • Vascular infarction of the labyrinth (usually associated with unilateral hearing loss)

  • Vasculitis

Differential Diagnoses