Even more than a century after the first description of Meniere's dise
ase, Portmann (1927) said: 'Meniere's is one of the least understood d
isorders both by doctors in general and specialists. It is variable in
clinical presentation, imprecise in diagnosis, and because the effect
iveness of treatment is doubtful, leaves the clinician disillusioned,
depriving the patient of the potential cure that has become the rule.'