Hearing and Vestibular Testing in Menière’s Disease

Audiological and vestibular testing plays an important role in diagnosis of Menière’s disease,as disease per se and as staging diagnosis. A battery of tests are recommended in order to have a better evaluation of the disease. Audiological testing includes pure tone audiometry, with highlights of bone conduction especially in acute episodes of Menière’s disease, speech audiometry and glycerol test when hearing loss is documented, ABR and electrocochleography. Besides these investigations, vestibular investigations are also recommended in order to evaluate the degree of vestibular lesion present from the beginning of Menière’s disease—electroand videonystagmography, head impulse test, vestibular evoked myogenic potentials and computerized dynamic posturography.