**6. Conclusion**

It is a challenging task to arrive at a conclusive diagnosis of Meniere's disease. A detailed history must be elicited from the patients, who should be encouraged to describe the symptoms in their own language. The sequence of events as they appeared and their characteristics help in arriving at a possible diagnosis. A thorough clinical examination is a mandatory component of initial encounter with the patient. Pure tone audiometry is the principal tool to document nature and degree of hearing loss. It is highly useful to have previous audiograms and compare them with the current audiogram. It helps understand fluctuant nature of disease and its progression. Glycerol test is a useful component of audiological assessment and has been combined with PTA and OAE. In author's experience, results of glycerol test in combination with PTA may be used to decide the possible line of treatment. Those patients with a positive glycerol test give better results with diuretics such as hydrochlorothiazide and those with a negative test respond better to oral steroids such as prednisolone. The word recognition scores recorded in speech audiometry demonstrate a typical "plateau effect," reaching a ceiling of performance at <100% and no improvement in the score despite a rise in intensity. OAE, especially DPOAE, has been particularly found useful in diagnosis of Meniere's disease. The role of electrocochleography (ECochG) in the diagnosis and monitoring of treatment for Meniere's disease remains controversial.

## **Author details**

Dinesh Kumar Sharma

Address all correspondence to: dr.dineshkumar@gmail.com

Department of ENT, Government Medical College, Amritsar, India

#### **References**


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**Author details**

80 Up to Date on Meniere's Disease

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Address all correspondence to: dr.dineshkumar@gmail.com

Department of ENT, Government Medical College, Amritsar, India

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