Prevalence of Ménière Disease in Elderly: Systematic Review
Introduction: Ménière disease is a frequent vestibular pathology that has as main symptoms tinnitus, vertigo, and hearing loss. Nausea, vomiting, and difficulty in walking emerge as associated symptoms, and they negatively interfere in life quality of patients since this crisis is unexpected and also because of the fact that there is no cure for this disease yet.
Objectives: The study aimed to conduct a systematic review of medical literature on Ménière disease in elderly population.
Data Synthesis: Systematic review on PubMed and Scientific Electronic Library Online (SciELO) databases using “Prevalence of Ménière disease in elderly” Keywords. No articles were found with such delineation in Scientific Electronic Library Online (SciELO). In PubMed, 2,894 articles were found. Of these, only 128 were available, with 60 of these being published in the past 5 years. After reading the abstracts, six articles were selected. Three prospective cohorts, two cross-sectional studies, and one case-control were found. A low rate of positivity for autoantibodies associated with the disease was observed, which supported the hypothesis of a vascular disorder involved in the pathogenesis of Ménière disease in elderly. The possibility of a new subset of autoimmune-based Ménière disease was raised, since 63 of the 575 evaluated patients were diagnosed with some autoimmune disease.
Conclusion: Ménière disease in the elderly is still of little interest among the scientific work. Facing population aging and a high prevalence of the disease in older adults, it needs more investment and conduction of good-quality studies.