Which is TRUE of Meniere's disease? (A) It usually occurs in...

Which is TRUE of Meniere's disease?
(A) It usually occurs in patients aged 65 and older.
(B) The duration of vertigo is short.
(C) Attacks usually occur daily.
(D) Hearing loss is not an associated finding.

Key Concepts

Attack Frequency

The vertigo attacks in Meniere's disease tend to be episodic and not usually daily. The intermittent nature of these attacks, with symptom-free periods in between, is a key diagnostic feature that helps distinguish it from other disorders with more frequent or constant symptoms.

Epidemiology and Age Range

Meniere's disease most commonly presents in middle-aged adults, typically between the ages of 40 and 60, rather than predominantly in older populations. Understanding the typical age range aids in differentiating it from other causes of vertigo in the elderly.

Sensorineural Hearing Loss

A hallmark of Meniere's disease is fluctuating, progressive sensorineural hearing loss, usually affecting the lower frequencies initially. Over time, hearing loss may become more permanent and affect a broader range of frequencies.

Episodic Vertigo

In Meniere's disease, vertigo typically occurs as episodic attacks that last from about 20 minutes up to several hours. This episodic nature distinguishes the condition from other vestibular disorders that may present with brief or continuous vertigo.

Meniere's Disease

Meniere's disease is an inner ear disorder characterized by a tetrad of symptoms: episodic vertigo, fluctuating sensorineural hearing loss, tinnitus, and aural fullness. It reflects dysregulation of inner ear fluid dynamics and is diagnosed based on clinical criteria after ruling out other pathologies.

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