European Archives of Oto-Rhino-Laryngology

, Volume 264, Issue 12, pp 1399–1403

Meniere’s disease: rare or underdiagnosed among Africans

Otology

Abstract

Meniere’s disease can easily be misdiagnosed because several otological disorders mimic the disease. Conflicting reports on the incidence of this disease among the Africans had been documented. The goal of our study was to verify the prevalence and clinical features of Meniere’s disease in WA sub-region. A 10 year (1996–2005) retrospective study carried out in our hospital. The diagnostic criteria for the disease were outlined and Oyedeji’s social classification instrument was adapted for socio-economic stratification of patients. The method of treatment and prognostic out-come were discussed. Out of 11,463 patients seen within the period, 25 (16 females and 9 males) met the diagnostic criteria for Meniere’s disease. The age ranged from 27 to 75 years (mean = 47.2 SD13.2) and the most predominant age group was 41–50 years. Sixty-eight percent were of low socio-economic class and the rest high. About 84% had unilateral and 16% bilateral Meniere’s disease. All the patients presented with tinnitus, vertigo and audiologically confirmed sensorineural hearing loss. CT-scan and MRI were used to rule out some differentials, while caloric and recruitment tests were used to strengthen the diagnosis. Treatment regimen (conservative) outcome: 72% had good improvement, 8% fair, while 20% absconded from follow-up. The prevalence of Meniere’s disease in West African sub-region is 0.22%. This prevalence among Africans may not differ from the Caucasians. Under- or over-diagnosis of the disease previously must have been responsible for the contrasting results. Appropriate diagnostic tools are necessary for accurate diagnosis of the disease.

Keywords

Meniere’s disease Endolymphatic hydrop Prevalence Audiology 

References

  1. 1.
    Banerjee AS, Johnson IJ (2006) Intratympanic Gentamicin for Meniere’s disease: effect on quality of life as assessed by Glasgow benefit inventory. J Laryngol Otol 17:1–8Google Scholar
  2. 2.
    Onuki J, Takahashi M, Odagiri K, Wada R, Sato R (2005) Comparative study of the daily lifestyle of patients with Meniere’s disease and controls. Ann Otol Rhinol Laryngol 114(12):927–933PubMedGoogle Scholar
  3. 3.
    Klar J, Frykholm C, Friberg U, Dahl N (2006) A Meniere’s disease gene linked to chromosome 12p12.3. Am J Med Genet B Neuropsychiatry Genet (EPUB ahead of print)Google Scholar
  4. 4.
    American Academy of Otolaryngology Head and Neck surgery (2006) Meniere’s disease. http://www.entnet.orgGoogle Scholar
  5. 5.
    House JW, Doharty JK, Fisher LM, Dereby MJ, Berliner RI (2006) Meniere’s disease prevalence of contralateral ear involvement. Otol Neurotol 27(30):355–361PubMedCrossRefGoogle Scholar
  6. 6.
    Choung YH, Park K, Kim HJ, Kim K (2006) Rare cases of Meniere’s disease in children. J Laryngol Otol 120(4):343–352PubMedCrossRefGoogle Scholar
  7. 7.
    Erbek SH, Erbek SS, Yilmaz I, Topal O, Orzgigin N, Ozluoglu LN, Alchan F (2006) Vertigo in childhood: a clinical experience. Int J Pediatr Otolaryngol (EPUB ahead print)Google Scholar
  8. 8.
    Havia M, Kental E, Pyykko I (2005) Prevalence of meniere’s disease in general population of Southern Finland. Otolaryngol Head Neck Surg 133(5):762–768PubMedCrossRefGoogle Scholar
  9. 9.
    James M Brown, Judson Dalad (1998) Meniere’s disease with report of a case. JAMA 279(8):486–488Google Scholar
  10. 10.
    Black RJ, Gibson WPR, Caooer JW (1982) Fluctuating hearing loss in West African and West Indian racial groups: Yaws, Syphilis or Meniere’s disease. J Lary Otol 96:847–854Google Scholar
  11. 11.
    Watanabe I (1983) Incidence of Meniere’s disease including some other epidemiological data. In: Osterveld WJ (ed) Meniere’s disease a comprehensive Appraisal. Wiley, New York, p 16Google Scholar
  12. 12.
    Okafor BC (1984) Incidence of Meniere’s disease. J Laryngol Otol 98(8):775–779PubMedGoogle Scholar
  13. 13.
    Brobby GW (1992) The Incidence of Meniere’s disease in Kumasi-Ghana. Ghana Med J 26:454–459Google Scholar
  14. 14.
    Oyedeji GA (1985) Socio-economic and cultural background of hospitalized children in Ilesha. Nigerian J Pediatrics 12(4):111–117Google Scholar
  15. 15.
    Luthman ME (1997) Diagnostic audiometry. In: Mackay IS, Bull TR (eds) Scott Brown’s otorhinolaryngology-adult audiology, 6th edn. Butterworth-Heinnemann Publishing Co., London, pp 2/12/1–11Google Scholar
  16. 16.
    Dhingra PL (2004) Assessment of hearing. In: Disease of ear, nose and throat, 3rd edn. Mosby, Saunders eds, Elsevier, New Delhi, pp 28–37Google Scholar
  17. 17.
    Rowland NJ, McRae RDR, McCombe AW (2001) Caloric test. In: Key topics in otolaryngology and head and neck surgery, 2nd edn, Paul Barlass eds. BIOS Scientific Publishers Ltd., Wales, pp 27–28Google Scholar
  18. 18.
    Moffat DA, Ballagh RB (1997) Meniere’s disease. In: Booth JB (ed) Scott-Brown’s otolaryngology, 6th edn. Oxford, pp 3/19/1–50Google Scholar
  19. 19.
    Shepard NT (2006) Differentiation of Meniere’s disease and migraine-associated dizziness: a review. J Am Audiol 17(1):69–80CrossRefGoogle Scholar
  20. 20.
    da costa SS, de Sousa LC, Piza MR (2002) Meniere’s disease: overview, epidermiology and natural history. Otolaryngol Clin North Am 35(3):455–495PubMedCrossRefGoogle Scholar
  21. 21.
    Perez Lopez L, Belinchon de Diego A, Perez Garrigues H, Morera Perez C (2006) Meniere’s disease and migraine. Acta Otorrinolarringol Esp 56(3):125–129Google Scholar
  22. 22.
    Sojaku H, Watanabe Y, Fujisaka M, Tsubota M, Kobayashi K (2005) Epidemiologic characteristics of definite Meniere’s disease in Japan. A long-term survey of Toyama and Niigata prefectures. ORL J Otorhinolaryngol Relat Spec 67(5):305–309Google Scholar
  23. 23.
    Convert C, Franco-Vidal V, Bebear JP, Darrouzet V (2006) Outcome-based assessment of endolymphatic sac decompression for Meniere’s disease using the Meniere’s disease outcome questionnaire: a review of 90 patients. Otol Neurotol 27(5):687–696PubMedCrossRefGoogle Scholar
  24. 24.
    Mouadeb DA, Ruckenstein MJ (2005) Antiphospholipid inner ear syndrome. Laryngoscope 115(5):879–883PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology, College of Medicine University of IbadanUniversity College Hospital IbadanIbadanNigeria

Personalised recommendations