Res Vestib Sci.  2015 Sep;14(3):67-74. 10.0000/rvs.2015.14.3.67.

Diagnostic Criteria for Meniere's Disease

Affiliations
  • 1Otology and Neurotology Group CTS495, Department of Genomic Medicine, Centre for Genomics and Oncology Research-Pfizer/Universidad de Granada/Junta de Andalucia (GENyO), PTS, Granada, Spain.
  • 2Department of Otolaryngology, Hospital de Poniente, El Ejido, Almeria, Spain.
  • 3Department of Otolaryngology, Head and Neck Surgery, John Hopkins University School of Medicine, Baltimore, MD, USA.
  • 4Department of Otolaryngology, Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan Univerisity School of Medicine, Seoul, Korea.
  • 5Department of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
  • 6Department of Otolaryngology, University of Lund, Lund, Sweden.
  • 7Otology and Skull Base Department, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
  • 8Department of Neurology, John Hopkins University School of Medicine, Baltimore, MD, USA.
  • 9Department of Neurology and German Cnter for Vertigo and Balance Disorders, Ludwig-Maximilians University, Munich, Germany.
  • 10Department of Otolaryngology, Tokyo Medical University, Tokyo, Japan.
  • 11Department of Neurology, Centre Hospitalier Emile Mayrisch, Esch-sur-Alzette, Luxembourg.

Abstract

This paper presents diagnostic criteria for Meniere's disease jointly formulated by the Classification Committee of the Barany Society, The Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology, the Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery, and the Korean Balance Society. The classification includes two categories: definite Meniere's disease and probable Meniere's disease. The diagnosis of definite Meniere's disease is based on clinical criteria and requires the observation of an episodic vertigo syndrome associated with low- to medium- frequency sensorineural hearing loss and fluctuating aural symptoms (hearing, tinnitus and/or fullness) in the affected ear. Duration of vertigo episodes is limited to a period between 20 minutes and 12 hours. Probable Meniere's disease is a broader concept defined by episodic vestibular symptoms (vertigo or dizziness) associated with fluctuating aural symptoms occurring in a period from 20 minutes to 24 hours.

Keyword

Vertigo; Sensorineural hearing loss; Tinnitus; Vestibular disorders; Meniere's disease

MeSH Terms

Classification
Diagnosis
Ear
Hearing Loss, Sensorineural
Japan
Meniere Disease*
Neck
Neurotology
Otolaryngology
Tinnitus
Vertigo
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