Meniere’s disease is the most common type of vertigo that people hear about. Many people diagnose themselves or others with Meniere’s disease as soon as they hear about vertigo. Actually, it is not. A long time ago, in fact not long ago, at most 10 years ago, most doctors knew very little about vertigo, and when they came across a patient with vertigo, they first saw a neurologist, except for cerebral infarction, and then went to see an orthopedic surgeon, except for cervical spondylosis, and diagnosed the patient with Ménière’s disease, and gave the patient some fluids, and the symptoms disappeared in a few days. Now it seems that many patients were misdiagnosed. At that time, people didn’t know otoliths, but now we know that more than half of the vertigo diseases are otoliths, so I guess they were diagnosed as Ménière’s disease at that time. The typical presentation of Ménière’s disease is episodes of vertigo lasting several hours at a time, accompanied by deafness, tinnitus and a feeling of swelling in the ears, along with hearing loss. The hearing loss is fluctuating in the early stages, that is, it decreases during the attacks, and it returns to normal during the recovery period, and gradually decreases with repeated attacks.