Meniere Disease

Question 1

What are the characteristic symptoms of Meniere Disease?

Answer 1

Waxing and waning, asymmetric tinnitus and vertigo

Symptoms have a slowly progressive course over many years.

Question 2

What is a notable familial aspect of Meniere Disease?

Answer 2

Has a familial component but no strict inheritance

The vignette can sometimes mention a relative with similar findings.

Question 3

What is the primary physiological issue associated with Meniere Disease?

Answer 3

Defective endolymphatic drainage

Question 4

What type of hearing loss can Meniere Disease cause?

Answer 4

Low-frequency hearing loss

Patients may find it difficult to hear conversations at the dinner table with many people.

Question 5

How does Meniere Disease’s hearing loss differ from presbycusis?

Answer 5

Meniere Disease causes low-frequency hearing loss, while presbycusis causes high-frequency hearing loss in the elderly.