In Meniere's disease, vertigo lasts between 20 minutes and 12 hours and does not stop when stationary. Also, hearing loss, fullness, and ringing are seen in the affected ear.
Your mission, should you choose to accept it… is to summarize Meniere’s disease in one page
Although the exact underlying mechanisms are not known(genetic, viral, autoimmune, allergic?), symptoms are caused by increased inner ear(endolymph) fluid pressure.
Middle-aged women are more frequently affected (similar to migraine). In %80 cases, only one of the ears is affected.
At least two episodes are necessary for suspicion. A documented hearing loss during an episode makes the diagnosis definitive.
Preventive measures (limiting caffeine/alcohol/chocolate/excessive salt intake, quitting smoking, and reducing stress) can help most of the patients.
Betahistine and diuretics can be used for 3-6 months to decrease the frequency of attacks.
Attacks are treated with vestibular suppressants, steroids, diuretics, and oral betahistine.
Intratympanic steroid injections can offer a hearing-preserving non-surgical option. If the hearing is non-serviceable, intratympanic gentamycin injections can be preferred for a non-surgical vestibular ablation.
If these measures can not control the debilitating symptoms, surgical options such as endolymphatic sac decompression, vestibular neurectomy, or labyrinthectomy may be considered.