Also known as peripheral vestibular, this is a disorder theorized to be triggered by an excess in the volume of endolymphatic fluid (hydrops) inside the inner ear. Diet may play a role in reducing frequency of these attacks. Patients report a sudden, spontaneous onset of severe vertigo with or without nausea and vomiting that lasts for hours to days. Patients who truly have this disorder may have recurrent attacks. This disorder is associated with fluctuating hearing loss detectable on audiogram. Patients may present with Meniere’s disease or Meniere’s syndrome.

In this author’s experience, the diagnosis of Meniere’s disease is inappropriately assigned to many patients whose symptoms are not consistent with a true presentation of this vestibular pathology. Therefore, this author still recommends a vestibular assessment for those patients who have been assigned with the diagnosis of Meniere’s disease by a physician.


This blog is provided for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. The details of any case mentioned in this post represent a typical patient that I might see and do not describe the circumstances of a specific individual.

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