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Diagnostic Criteria for Meniere's Disease

Meniere´s disease is defined as recurrent, spontaneous episodic vertigo, hearing loss, aural fullness and tinnitus. Recurrent endolymphatic hypertension (hydrops) is believed to cause the episodes.

According to the guidelines from AAO-HNS Committee of Hearing and Equilibrium the three major symptoms are described as follows:

Vertigo

  • Recurrent, well-defined episodes of spinning or rotation

  • Duration ranging from 20 min to 24 h

  • Nystagmus associated with attacks

  • Nausea and vomiting during vertigo spells common

  • No neurologic symptoms with vertigo

Deafness

  • Hearing deficits fluctuate

  • Sensorineural hearing loss

  • Hearing loss progressive, usually unilateral

Tinnitus

  • Variable, often low pitched and louder during attacks

  • Usually unilateral on the affected side

  • Subjective

Diagnosis of Meniere's Disease

Possible Meniere's disease

Episodic vertigo of the Meniere's type without documented hearing loss, or

Sensorineural hearing loss, fluctuating or fixed, with dysequilibrium but without definitive episodes

Other causes excluded

 

Probable Meniere's disease

One definitive episode of vertigo

Audiometrically documented hearing loss on at least one occasion

Tinnitus or aural fullness in the treated ear

Other causes excluded

 

Definite Meniere's disease

Two or more definitive spontaneous episodes of vertigo 20 minutes or longer

Audiometrically documented hearing loss on at least one occasion

Tinnitus or aural fullness in the treated ear

Other cases excluded

 

Certain Meniere's disease

Definite Meniere's disease, plus histopathologic confirmation

 

Related Criteria:

Diagnostic Criteria for Benign Paroxysmal Positional Vertigo

 

 

References:

  1. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere's disease.American Academy of Otolaryngology-Head and Neck Foundation, Inc. Otolaryngol Head Neck Surg. 1995 Sep;113(3):181-5. [Medline]

  2. Thorp MA, Shehab ZP, Bance ML, Rutka JA; AAO-HNS Committee on Hearing and Equilibrium. The AAO-HNS Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere's disease: have they been applied in the published literature of the last decade? Clin Otolaryngol Allied Sci. 2003 Jun;28(3):173-6. [Medline]

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Created: May 07, 2006
Last Modified: 10/23/2010

 
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