From its sometimes confusing overlap with migraine to limited evidence for systemic treatments, Ménière’s disease poses challenges to clinicians. Expert panelists offered their insights into managing the disorder at the Triological Society Combined Sections Meeting.
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March 2019Yuri Agrawal, MD, associate professor of otolaryngology–head and neck surgery at Johns Hopkins School of Medicine in Baltimore, said that while an audiogram is the only testing required to make a diagnosis of Meniere’s, other tests could play a role in certain situations. Caloric testing, she noted, is the most sensitive in correctly identifying the affected ear, followed by cervical vestibular-evoked myogenic potential (cVEMP).
MRI and cVEMP, she said, could help with further management. “It might be useful, for example, when contemplating an ablative procedure for an index ear … to know what might be the