Criteria
Diagnostic criteria for Menière’s disease: Classification Committee of the Bárány Society, Japan Society for Equilibrium Research, European Academy of Otology and Neurotology (EAONO), Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), Korean Balance Society[45]
Definite meniere disease (MD)
Two or more spontaneous episodes of vertigo, each lasting 20 minutes to 12 hours
Audiometrically documented low- to medium-frequency sensorineural hearing loss in one ear, defining the affected ear on at least one occasion before, during, or after one of the episodes of vertigo
Fluctuating aural symptoms (hearing, tinnitus, or fullness) in the affected ear
Not better accounted for by another vestibular diagnosis.
Probable MD
Two or more episodes of vertigo or dizziness, each lasting 20 minutes to 24 hours
Fluctuating aural symptoms (hearing, tinnitus, or fullness) in the affected ear
Not better accounted for by another vestibular diagnosis.
Ten-point scale for the clinical diagnosis of MD[12]
Based on clinical history. One point awarded to each of the following. The closer the score is to 10, the more likely the patient is to have MD.
Rotational vertigo
Attacks of vertigo lasting >10 minutes
Rotational vertigo associated with 1 or more of hearing loss, tinnitus, or aural pressure
Sensorineural hearing loss
Fluctuating hearing loss
Hearing loss or fluctuation associated with vertigo, tinnitus, or aural pressure
Peripheral tinnitus lasting >5 minutes
Tinnitus fluctuating or changing with 1 or more of the following: vertigo, hearing loss, or aural pressure
Aural pressure/fullness lasting >5 minutes
Aural pressure fluctuating or changing with vertigo, hearing loss, or tinnitus.
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