A definite episode (or spell) of vertigo of the Meniere type can be diagnosed if certain features are present. The staging scale was developed by the Committee on Hearing and Equilibrium of the American Academy of Otolaryngology - Head and Neck Surgery.


Criteria for a definite spell of Meniere's disease (episodic vertigo of the Meniere type):

(1) spontaneous rotational vertigo lasting > 20 minutes (may last several hours)

(2) prostrating

(3) accompanied by dysequilibrium which may last for days

(4) usually accompanied by nausea

(5) often accompanied by vomiting or retching

(6) consciousness is not lost

(7) horizontal or horizontal rotary nystagmus is always present during the episode



• Vertigo is a sensation of motion when no motion is occurring relative to the earth's gravity.

• With rotational vertigo there is a sensation that the room is spinning.


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