Menière's disease.

Menière's disease is the most common cause of true vertigo and it affects about 2.4 million Americans. Episodic tinnitus, hearing loss, vertigo, and aural fullness are the classic findings. The symptom which is most debilitating and which causes most people to seek treatment is vertigo. Most patients respond extremely well to medical management and only rarely is surgery necessary. This paper discusses the symptoms, diagnosis, and clinical course of Menière's disease. Medical and surgical therapeutic options are discussed.