Some patients with advanced Ménière’s disease develop drop attacks. Such an attack (when due to Ménière’s disease) is called an “otolithic catastrophe of Tumarkin” and is not usually prevented by oral medications. Such drop attacks are dangerous because of their abruptness, so if a patient with Ménière’s disease begins experiencing these, they generally consult a neuro-otologist to be evaluated for a more definitive surgical procedure to treat Ménière’s.