Meniere's disease can be diagnosed if certain clinical features are present. The criteria for diagnosis was developed by the Committee on Hearing and Equilibrium of the American Academy of Otolaryngology - Head and Neck Surgery.
Parameters:
(1) episode of vertigo or dysequilibrium
(2) hearing loss
(3) tinnitus or aural fullness in the affected ear
(4) histopathologic examination
(5) exclusion of other causes
|
Parameter |
Findings in Definite Meniere's Disease |
|
episode of vertigo or dysequilibrium |
>= 2 episodes of the Meniere's type |
|
hearing loss |
audiometrically documented on at least 1 episode |
|
tinnitus or aural fullness |
present |
|
other causes |
excluded |
Confirmed Meniere's disease is definite Meniere's disease PLUS histopathologic confirmation.
|
Parameter |
Findings in Probable Meniere's Disease |
|
episode of vertigo or dysequilibrium |
1 episode of the Meniere's type |
|
hearing loss |
audiometrically documented on at least 1 episode |
|
tinnitus or aural fullness |
present |
|
other causes |
excluded |
|
Parameter |
Findings in Possible Meniere's Disease |
|
episode of vertigo or dysequilibrium |
episodic vertigo of the Meniere's type |
|
hearing loss |
not documented |
|
tinnitus or aural fullness |
NA |
|
other causes |
excluded |
|
Parameter |
Findings in Possible Meniere's Disease |
|
episode of vertigo or dysequilibrium |
dysequilibrium but no definite episode of vertigo |
|
hearing loss |
sensorineural, fluctuating or fixed |
|
tinnitus or aural fullness |
NA |
|
other causes |
excluded |
Purpose: To determine if a patient has Meniere's disease.
Specialty: Neurology, Otolaryngology
Objective: criteria for diagnosis
ICD-10: H81.0,
