Talk:Ménière's disease

Error

The main article states that beta histine can be taken during an attack. This is absolutely wrong and could misguide sufferers. Betahistine is taken on a regular dose in the hope that it reduces attacks. I don't edit wikipedia main pages so someone else please fix it ! —Preceding unsigned comment added by 94.169.97.109 (talk) 16:44, 3 September 2010 (UTC)

Technical

Technical issues concerning ease of direct linking trump correctly accented page titles (most internet users don’t know how to make accents with their keyboards and the existence of redirects is less than obvious). The full and correct accenting should be used within the text of the article though and the accented page titles should be redirect to the unaccented ones. See the thread at the bottom of Talk:Naming conventions about Andre Breton vs André Breton for complete explanation. In this particular case there is also an issue with extent of use: Meniere's Disease getting 16,300 hits on Google and Ménière’s disease only getting 490 (see talk:naming conventions on why this is important when redirects already exist for the more "popular" form). --maveric149

cough... both your André Breton examples above are indentical. I've taken the liberty of changing one to a plain "e" Tarquin

Don't know what you mean -- André Breton is a redirect to Andre Breton. --maveric149

Oh, I see what you did, thanks. --maveric149

Eponym

The eponym was reviewed in the Lancet[1] JFW | T@lk 23:49, 25 December 2005 (UTC)

Requested move

Ménière’s disease → Ménière's disease … Rationale: Remove directed single quotation mark and make it an undirected single quotation mark. --waffle iron ^talk 05:42, 11 August 2006 (UTC)

The following discussion is an archived discussion of the proposal. Please do not modify it. Subsequent comments should be made in a new section on the talk page. No further edits should be made to this section.

The result of the proposal was moved per unanimous consent. — Arthur Rubin | (talk) 00:26, 18 August 2006 (UTC)

Survey

Add "* Support" or "* Oppose" followed by an optional one-sentence explanation, then sign your opinion with ~~~~

• Support. I'm sure there's something about this in WP:NC somewhere. The closest I can find is WP:DASH, which states that en-dashes in article titles should be replaced with hyphens to make them typable; the situation with untypable "smart" apostrophes is identical. — Haeleth Talk 09:41, 11 August 2006 (UTC)
• Support. David Kernow 05:59, 13 August 2006 (UTC)
• Support. This was briefly discussed in Wikipedia talk:Naming conventions. -- Sakurambo 桜ん坊 09:39, 13 August 2006 (UTC)

Discussion

Add any additional comments

The above discussion is preserved as an archive of the proposal. Please do not modify it. Subsequent comments should be made in a new section on this talk page. No further edits should be made to this section.

Citation needed tag

Which definition or dx criteria state that "A diagnosis may be made in the absence of all four classic symptoms"? For example Committee on Hearing and Equilibrium, Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere's disease, Otolaryngology-Head and Neck Surgery, 113:181-185 requires: "Either tinnitus or aural fullness (or both) must be present on the affected side to make the diagnosis for reporting purposes under these guidelines." <admittedly this is for reporting purposes> FWIW - AvB ÷ talk 09:43, 5 October 2006 (UTC)

I corrected the part about Darwin being a Meniere's patient. He might have had an inner ear disease, but in the absence of hearing loss and aural fullness there is no basis for a diagnosis.

Layraud 09:24, 1 December 2006 (UTC)Layraud

Conjectural Diagnosis

The article on Vincent van Gogh has been expanded and a link to a separate article on Vincent van Gogh's medical condition is now included. I have therefore amended/linked Famous Sufferers in line with these changes. I have also edited/qualified the Milligan & Clare "See Also" to neutralise and accord with the foregoing. I think the Starry Night reference now looks frivolous. Any thoughts?

Ynysgrif 16:16, 27 December 2006 (UTC)

Under: 'See Also'

As it is written down now, it would suggest that this long list of people would have Meniere's disease as a consequence of syphilis. This is obviously nonsense, or to say it more politely, where is the evidence that Syphilis causes Meniere's disease? Layraud 11:52, 20 March 2007 (UTC)

Either I am ging to delete "probably caused by syphillis" or the whole phrase about these people. Problem is that I don't know what that book really says. Anyone? Layraud 09:39, 30 March 2007 (UTC)

Proposed external link

Please can someone explain the background to this unusual notice (I'm aware of the WP policy). Who has made the decision and why ? -

===========================()===============================
| DO NOT ADD MORE LINKS TO THIS ARTICLE. WIKIPEDIA IS NOT A COLLECTION OF |
| LINKS. If you think that your link might be useful, do not add it here, |
| but put it on this article's discussion page first or submit your link |
| to the appropriate category at the Open Directory Project (www.dmoz.org)|
| and link back to that category using the Ménière's disease at the Open Directory Project template. |
| |
| Links that have not been verified WILL BE DELETED. |
| See Wikipedia:External links and Wikipedia:Spam for details |
===========================()===============================

Knowing nothing about the subject, but investigating for my elderly neighbour who's considering endolymphatic sac surgery I thought that the following was a good overview with a load of references for further investigation, from a good source. Is it worth adding ? -

Saeed, Shakeel R (31 January 1998). "Fortnightly review: Diagnosis and treatment of Ménière’s disease". BMJ (London: BMJ Publishing Group) 316 (7128): 368-372. http://www.bmj.com/cgi/content/full/316/7128/368?ck=nck. 

It also contradicts the John Hopkins cited age range and male-female ratio in the article -

"Ménière’s disease predominantly affects white people, with a prevalence in the United Kingdom of 1 per 1000 of the population, both sexes being represented equally. The disorder may occur in children but has a peak onset between 20 and 50 years of age. The incidence of disease affecting both ears increases to over 40% with longer follow up."

Thanks -- John (Daytona2 · talk) 19:13, 11 December 2007 (UTC)

Here is a very interesting personal account on Ménière’s disease:

"People who don’t know me assume I’m slightly odd when I press my face to speakers and musical instruments. Commuters appear frightened by my soulful relationship with my iPod; perhaps they’re wondering if weeping my way through a bit of Beethoven on the bus is evidence that I shouldn’t be allowed out on my own. "

From the American Hearing Research Foundation [2]

Why no reference to AAO HNS CHE 1995 ?

I know little of the subject but isn't this a pretty standard starting point ? I can't seem to locate it on the web so a link would be good. Thanks -- John (Daytona2 · talk) 19:36, 11 December 2007 (UTC)

Potassium intake

This edit removes a statement regarding potassium and Meniere's symptoms.

Several days of googling leads to believe this statement is an improper synthesis. I've yet to find a reliable journal state that potassium intake has any sort of large effect. Note that a "reliable journal" is not an anecdote. Ijustam (talk) 20:10, 26 June 2008 (UTC)

Lancet review

doi:10.1016/S0140-6736(08)61161-7 JFW | T@lk 20:30, 27 August 2008 (UTC)

Assessment

To reach B-class status, it needs more high-quality references, particularly in #Progression, which is entirely unreferenced.

I've tagged a handful of things. Additionally -- and this is not required for B-class status -- you might try weeding the "Notable patients" list, which is rather on the long side, and the references need reorganized. ==Footnotes== should really only have short citations, instead of all short citations plus all full citations that are only used once. All full citations properly belong in the main ==References== list. One way to do this is to define WP:REFGROUPs. Personally, my usual approach is to merge all short and full citations into a single section, adding the full citation to the first short citation. However, there are many acceptable approaches, and whichever you like best is fine. WhatamIdoing (talk) 19:11, 20 September 2008 (UTC)

There is a lot of confusion over exactly what Meniere's "Disease" is. Sufferers stress over getting a diagnosis, yet it is not a disease as such, rather an idiopathic condition. Here is as good an explanation you will get from Dr Steven D Rauch of Massachusett's Eye and Ear Infirmary. Boston: [[3]] —Preceding unsigned comment added by 119.172.170.169 (talk) 04:28, 1 April 2009 (UTC)

Support

As MD and migraine-associated vertigo can co-exist, I would like permission to add a small paragraph stating so, with a citation, along with an external link to a forum dedicated to supporting sufferers of both illnesses. (UTC)julcal —Preceding unsigned comment added by Julcal (talk • contribs) 03:06, 12 April 2009 (UTC)

howto

"To ensure your manganese is absorbed, ensure it is taken in Amico Acid Chelate form." WP:NOT a how-to 22:42, 13 June 2010 (UTC) —Preceding unsigned comment added by 67.49.0.138 (talk) 08:27, 8 June 2009 (UTC)

does this include ppl who are born deaf in one year and slightly deaf in the other?

cause i was born deaf in my right ear and slightly deaf in my left ear and still wearing a hearing aid but the fact that some of the symptoms of this happens to me every down and then...i dont know why. or understand it. —Preceding unsigned comment added by 97.100.214.142 (talk) 23:54, 19 April 2010 (UTC)

can this be caused by pressure on both sides of your ears with hands —Preceding unsigned comment added by 207.183.191.80 (talk) 03:59, 6 October 2010 (UTC)

Additional Pop Culture Reference

Wasn't one of the characters in Beethoven Virus, a Korean drama, affected by Ménière's disease? 97.81.65.138 (talk) 19:55, 25 November 2010 (UTC)

Some weird discrepancies

I have a husband with Meniere's, a severe form that has left him disabled, and I must admit there were a few things in the article that do not fit anything the doctor has said, or the research we have done, which left me confused as to the accuracy of some of the sources, including a book by Haybach. One good resource is http://www.menieresinfo.com/start.html, but I am sure there are others.

This sentence is inaccurate: "Attacks of vertigo can be severe, incapacitating, and unpredictable and can last anywhere from minutes to hours[7], but no longer than 24 hours." I am not an editor here and usually don't have time, but I was trying to find some other good sites to send friends who wish to know more about my husband's condition and was very disappointed in the article presented. My husband has had attacks that have lasted over a week, sometimes up to two weeks where I had to bring him food, he couldn't move or he would fall over, and his world is always moving ever so slightly even when he is not having an outright attack.

"Ménière's typically begins between the ages of 30 and 60," this may be true, but my husband's started in his late 20's.

"Ménière's disease, being unpredictable, has a variable prognosis. Attacks could come more frequently and more severely, less frequently and less severely, and anywhere in between.[44] However, Ménière's is known to "burn out" to a stage where vertigo attacks cease over time.[45]"

The last sentence in this is entirely false! Most doctor's we've spoken too do not believe that meniere's will "burn out." There is no evidence to suggest that it does this, and this also puts false hope in some people. The "burn out" suggested here suggests it almost gives up, but the burn out that is believed to happen is when the disease progresses to such a point that you lose complete hearing, and it may lesson the vertigo attacks because your body readjusts, but this rarely happens, and we've talked to some top doctor's in the Meniere's study and they think the "burn out" suggestion is not accurate.

Also, the surgery section should be more clear as well. My husband's doctor, one of the leading Meniere's doctors, does not recommend most surgeries unless nothing else in the world helps, because one of the risks is that your body will reject the surgery and you will have constant severe meniere's symptoms with no relief. You'd have to find information on that for confirmation, but if you can find relief any other way then he won't suggest surgery because the risk is too great.

24.121.155.59 (talk) 17:07, 12 December 2010 (UTC) I hope someone takes a look at this and makes some adjustments. The article is not all awful, but I felt is was very inaccurate in some places, and even misleading in others.

I've actually run into a lot of these same arguments while doing my own research. Meniere's is a really fickle beast that doesn't like to be classified into statistics. You ask anyone with Meniere's and you'll see that everyone's situation is different. I've talked to my otologist and gotten answers different than literature. Really it boils down to who you want to listen to. Haybach's book is a good source of information but is extremely outdated, published over 20 years ago. I referenced what I thought was relevant and not terrible advice (the book promotes ear candling, which is a terrible idea). You're right about the burnout phase. That probably needs to be reworded. "Burn out" refers to a point where the ear is so damaged that it no longer functions correctly and the brain ignores it. The surgery section is there because those operations exist, not because they're good ideas for everyone. Like I said, it's difficult to write about Meniere's because there's so little known about it. — Preceding unsigned comment added by Ijustam (talk • contribs) 06:19, 13 December 2010 (UTC)

Needs updating with reviews from last 5 years

• Greenberg SL, Nedzelski JM (October 2010). "Medical and noninvasive therapy for Meniere's disease". Otolaryngol. Clin. North Am. 43 (5): 1081–90. doi:10.1016/j.otc.2010.05.005. PMID 20713246. 
• Alexander TH, Harris JP (October 2010). "Current epidemiology of Meniere's syndrome". Otolaryngol. Clin. North Am. 43 (5): 965–70. doi:10.1016/j.otc.2010.05.001. PMID 20713236. 
• Martín González C, González FM, Trinidad A, et al. (September 2010). "Medical management of Ménière's disease: a 10-year case series and review of literature". Eur Arch Otorhinolaryngol 267 (9): 1371–6. doi:10.1007/s00405-010-1265-4. PMID 20454798. 
• Pullens B, Giard JL, Verschuur HP, van Benthem PP (2010). "Surgery for Ménière's disease". Cochrane Database Syst Rev (1): CD005395. doi:10.1002/14651858.CD005395.pub2. PMID 20091573. 

Doc James (talk · contribs · email) 06:20, 19 December 2010 (UTC)

dumb newbie questions

1. What is with the list of notable cases? It just makes no sense to me. I mean Lou Gehrig's disease, sure. But this thing? Will we have notable cases for lung cancer, heart disease, or rashes on the ass?

2. Why do we put the list of external links in the infobox instead of down in the normal penalty box at the very end? (P.s. They are also pretty damned cryptic with the letters and numbers, not having...um...words.)

TCO (reviews needed) 19:49, 17 July 2011 (UTC)

1. The historical ones are I think are interesting (especially the case for Van Gogh) but the current/popular society ones are dumb and people keep adding to them. One of these dauys I'm just going to delete it.

2. I have no idea what you're talking about.

ɯɐʇsnɾı (talk) 20:30, 3 August 2011 (UTC)