Ménière's disease.

Ménière's disease affects about 1% of the population. Typically it presents as episodic vertigo, fluctuating hearing loss, tinnitus and aural fullness. The history and physical examination are critical in making the diagnosis. Laboratory tests are useful in tailoring and following up patients. Treatment options are limited and usually targeted towards reducing endolymphatic hydrops to stabilise the hearing loss and reduce the vertiginous episodes.