本文描述了前庭性美尼尔氏病(vestibular Meniere’s disease,VMD)的临床表现并讨论了VMD与典型的美尼尔氏病的区别及其发病机理。听力和平衡委员会对VMD下了一个实用的定义,“即前庭性美尼尔氏病或称为无耳聋的美尼尔氏病,只具有眩晕发作的特点,在眩晕发作期之间无客观所见,在排除其他病变后才可诊断。有些病人后来发生耳聋,而前庭症状反而减轻。”典型美尼尔氏病患者中有20%可首先表现为VMD,其他VMD病人可持续多年(30或>30年)而不发展成典型的美尼尔氏病。VMD临床方面的鉴别诊断主要依据病史,通过完整的神经学检查,可排除中枢神经系病变;与典型美尼尔氏病的区别是无耳聋。VMD也易与良性位置 This article describes the clinical manifestations of vestibular Meniere’s disease (VMD) and discusses the differences between VMD and typical Meniere’s disease and its pathogenesis. The hearing and balance committee has a practical definition of VMD, “that is, Meniere’s disease in the vestibular or non-deafness Meniere’s disease, which has the characteristics of a dizziness attack and has no objective relationship between vertigo episodes See, after excluding other lesions can be diagnosed. ”Some patients later deafness, but the symptoms of the vestibular but reduced." 20% of patients with typical Meniere’s disease may first be manifested as VMD, other VMD patients can last for many years (30 or > 30 years) without developing typical Meniere’s disease. The differential diagnosis of VMD mainly based on medical history, through a complete neurological examination, can rule out central nervous system lesions; the difference with the typical Meniere’s disease is no deafness. VMD is also easy with benign position