Optimizing Staging of Meniere’s Disease: Integrating Electrocochleography with Vestibular Tests

Huang, Wang, and Chen (2025) analyzed test findings in 54 patients hospitalized for Meniere’s disease (66 affected ears). Of note, Meniere’s disease is not diagnosed by specific test findings, but through clinical history and symptoms. The researchers hoped to analyze the utility of vestibular and audiometric tests for a new Meniere’s disease staging method.

Participants received audiometric, video head impulse test (vHIT), electrocochleography (ECochG), cervical vestibular evoked myogenic potential (cVEMP), ocular vestibular evoked myogenic potential (oVEMP), and caloric tests. The researchers concluded that incorporating vestibular function tests when staging Meniere’s disease shows functional deficits (and helps better stage) earlier than audiometric testing in isolation. Study participants showed measurable changes in vestibular function prior to demonstrating audiometric hearing changes. Correlating ECochG findings with other tests of vestibular function appeared to be the most sensitive measure for early Meniere’s disease staging.

Reference

Huang, M., Wang, X., & Chen, M. (2025). Optimizing staging of Meniere’s disease: integrating electrocochleography with vestibular tests. Frontiers in Neuroscience, 19, 1-8.