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We also recommend frequent monitoring so we can document any changes with their hearing or symptoms.ĭepending on the evaluation results, we may refer your child to the Pediatric Balance and Vestibular Disorders Clinic for a multidisciplinary exam by doctors from Otolaryngology (ear, nose and throat), Audiology, Physical Therapy and Neurology.Ĭurrently, there is no cure for Meniere’s disease. Your child should also have a comprehensive audiologic evaluation to assess their hearing. This evaluation varies depending on your child’s age and developmental level and will last either 1.5 hours or 2.5 hours. The first step is a vestibular evaluation, which may require a referral to our Audiology Services from your child’s doctor. What can I expect from Meniere’s disease testing?

Providers have ruled out a different inner ear, balance or headache disorder.

Fluctuating ear symptoms including tinnitus, hearing loss or ear fullness.

Hearing tests show low- to mid-frequency sensorineural hearing loss in at least one ear.

At least 2 spontaneous episodes of vertigo, lasting 20 minutes to 12 hours.

We follow diagnostic criteria established by the Committee for Classification of Vestibular Disorders of the Bárány Society, which is an international community of scientists and clinicians performing leading vestibular research.Ĭhildren meeting these criteria may receive a Meniere’s disease diagnosis: These details can help us make a diagnosis. It’s helpful to keep a journal of your child’s episodes, including time and length of episodes and symptoms and events that may have triggered an episode. Since this disorder is rare in children, these exams usually lead to a diagnosis other than Meniere’s disease. We may recommend getting images from a CT scan or MRI to rule out other disorders. Our otolaryngologists (ear care specialists) and audiologists (hearing and balance specialists) work together for comprehensive medical and vestibular testing to rule out other causes of dizziness and to look for the specific features of Meniere’s disease. What tests are used to diagnose Meniere’s disease?Īt Children’s Hospital Colorado, we’ve created the Pediatric Balance and Vestibular Disorders Clinic to help diagnose and treat conditions like Meniere’s disease. Since this disorder is so rare in children, our doctors always recommend children undergo a thorough examination to rule out more common pediatric vestibular disorders (disorders affecting balance) prior to getting a Meniere’s disease diagnosis. People who have a family member diagnosed with Meniere’s disease are more prone to developing this disorder. Most often, Meniere’s disease begins between the ages of 40 and 60 and occurs in women more often than men. Meniere’s disease mostly affects adults, but children can sometimes get it during adolescence.

Some guesses as to why people with Meniere’s disease have excess fluid in their inner ear include: It’s unclear if the excess endolymph results from excessive production, poor draining or an overall lack of steady volume of inner ear fluid. Many believe extra endolymph (fluid in the inner ear) leads to increased pressure inside the inner ear labyrinth, which causes an episode.

The true cause of Meniere’s disease is still unknown, but the medical community has some theories. It can occur in both ears but usually occurs in just one. The hearing loss can fluctuate, but generally gets worse with each episode. The hearing loss is permanent and can occur gradually or in sudden big drops in hearing.

Hearing loss also occurs after Meniere’s disease attacks and usually gets worse with each additional episode. These episodes of dizziness can be debilitating, and the accompanying vertigo can be very intense.

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Episodes can last 20 minutes to a full day, but most people experience episodes lasting several hours. The disease affects the inner ear, causing hearing loss and vertigo (spinning dizziness).

Meniere’s disease is a chronic disorder, meaning it can affect someone throughout their lifetime.