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April 1995

Meniere's Disease: Etiologic Considerations

Author Affiliations

From the Emeritus Office, The Cleveland (Ohio) Clinic Foundation.

Arch Otolaryngol Head Neck Surg. 1995;121(4):377-382. doi:10.1001/archotol.1995.01890040005001

This article explores the evidence for a common vascular pathophysiology for idiopathic Meniere's disease and migraine. After retrospectively reviewing 85 cases of Meniere's disease, it is concluded that (1) migraine occurs more often in patients with Meniere's disease than in the general population, (2) the classic symptoms of Meniere's disease can be part of a migraine attack, (3) symptoms of Meniere's disease may be associated with a migraine attack without headache (migraine equivalent), (4) treatment for the migraine with methysergide maleate or prednisone may also improve the symptoms of Meniere's disease, and (5) prospective studies with adequate follow-up are needed to further investigate this association.

(Arch Otolaryngol Head Neck Surg. 1995;121:377-382)