Ménière's Disease

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Abstract
MÉNIÈRE'S DISEASE, when fully developed, is characterized by atriad of symptoms, a sensory-neural hearing loss, tinnitus in the diseased ear of varying intensity, and attacks of true vertigo lasting from several minutes to several hours. Theauditory disturbancesare usually characterized by wide fluctuations in the threshold of hearing, particularly in the lower and middle range. Tests for recruitment show it to be present in practically every case. During the attacks the threshold drops sharply but, particularly in early stages of the disease, may go back to normal within a few days or weeks. In advanced stages the fluctuations become less marked, and the hearing fails to return to normal or to improve markedly in the intervals between the attacks. A permanent and progressive hearing loss develops which, as a rule, is more marked in the lower and middle range. It may, however, extend uniformly over the entire

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