Ménière’s Disease: A Lifelong Merry-Go-Round

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Although accreditation for this CE/CME activity has expired, and the posttest is no longer available, you can still read the full article.

Expires October 31, 2014

Ménière’s disease is a complex disorder of intermittent vertigo, tinnitus, and hearing loss whose symptoms usually manifest between ages 20 and 60. Although this disorder is uncommon, its impact on a person’s quality of life can be significant. Here are the symptoms, criteria for diagnosis, and appropriate treatment or referrals for Ménière’s disease.



CE/CME No: CR-1310

Earn credit by reading this article and successfully completing the posttest. Successful completion is defined as a cumulative score of at least 70% correct.

• Describe the pathophysiology of Ménière’s disease, as it is currently understood.
• Discuss the triad of symptoms that should prompt suspicion for Ménière’s disease in a primary care patient.
• List the diagnostic criteria for “definite” Ménière’s disease, as defined by the American Academy of Otolaryngology–Head and Neck Surgery.
• Review pharmacologic management, intratympanic injection and other nonoperative therapies, and surgical treatment for Ménière’s disease.

Tamera Pearson is an Associate Professor in the School of Nursing at Western Carolina University.
The author has no significant financial relationships to disclose.


This program has been reviewed and is approved for a maximum of 1.0 hour of American Academy of Physician Assistants (AAPA) Category I CME credit by the Physician Assistant Review Panel. [NPs: Both ANCC and the AANP Certification Program recognize AAPA as an approved provider of Category 1 credit.] Approval is valid for one year from the issue date of October 2013.

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