{"id":2558,"date":"2009-03-01T21:52:43","date_gmt":"2009-03-01T21:52:43","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neuromeniere\/"},"modified":"2025-05-14T19:11:31","modified_gmt":"2025-05-14T19:11:31","slug":"neuromeniere","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/neuromeniere\/","title":{"rendered":"Diagnostic Criteria for Meniere&#8217;s Disease"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p class=\"MsoNormal\">Meniere\u00b4s disease is defined as recurrent, spontaneous episodic vertigo, hearing loss, aural fullness and tinnitus. Recurrent endolymphatic hypertension (hydrops) is believed to cause the episodes.<\/p>\n<p class=\"MsoNormal\">According to the guidelines from AAO-HNS Committee of Hearing and Equilibrium the three major symptoms are described as follows:<\/p>\n<p><!--more--><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Vertigo<\/p>\n<ul>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Recurrent, well-defined episodes of spinning or rotation<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Duration ranging from 20 min to 24 h<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Nystagmus associated with attacks<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Nausea and vomiting during vertigo spells common<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">No neurologic symptoms with vertigo<\/p>\n<\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Deafness<\/p>\n<ul>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Hearing deficits fluctuate<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Sensorineural hearing loss<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Hearing loss progressive, usually unilateral<\/p>\n<\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Tinnitus<\/p>\n<ul>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Variable, often low pitched and louder during attacks<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Usually unilateral on the affected side<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Subjective<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span class=\"style111\"><span style=\"font-style: normal; font-weight: bold;\">Diagnosis of Meniere&#8217;s Disease <\/span><\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong><span class=\"body1\"><em>Possible Meniere&#8217;s disease<\/em><\/span><\/strong><\/p>\n<ul>\n<li><span class=\"body1\">Episodic vertigo of the Meniere&#8217;s type without documented hearing loss, or<\/span><\/li>\n<li class=\"MsoNormal\"><span class=\"body1\"> Sensorineural hearing loss, fluctuating or fixed, with dysequilibrium but without definitive episodes<\/span><\/li>\n<li class=\"MsoNormal\"><span class=\"body1\"> Other causes excluded<\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong><em><span class=\"style111\"><br \/>\nProbable Meniere&#8217;s disease<\/span><\/em><\/strong><\/p>\n<ul>\n<li class=\"MsoNormal\"><span class=\"body1\"> One definitive episode of vertigo<\/span><\/li>\n<li class=\"MsoNormal\"><span class=\"body1\"> Audiometrically documented hearing loss on at least one occasion<\/span><\/li>\n<li class=\"MsoNormal\"><span class=\"body1\"> Tinnitus or aural fullness in the treated ear<\/span><\/li>\n<li class=\"MsoNormal\"><span class=\"body1\"> Other causes excluded<\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong><em><span class=\"style111\"><br \/>\nDefinite Meniere&#8217;s disease<\/span><\/em><\/strong><\/p>\n<ul>\n<li class=\"MsoNormal\"><span class=\"body1\"> Two or more definitive spontaneous episodes of vertigo 20 minutes or longer<\/span><\/li>\n<li class=\"MsoNormal\"><span class=\"body1\"> Audiometrically documented hearing loss on at least one occasion<\/span><\/li>\n<li class=\"MsoNormal\"><span class=\"body1\"> Tinnitus or aural fullness in the treated ear<\/span><\/li>\n<li class=\"MsoNormal\"><span class=\"body1\"> Other cases excluded<\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong><em><span class=\"style111\"><br \/>\nCertain Meniere&#8217;s disease<\/span><\/em><\/strong><\/p>\n<ul>\n<li class=\"MsoNormal\"><span class=\"body1\"> Definite Meniere&#8217;s disease, plus histopathologic confirmation<\/span><\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"Section1\">\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong>References:<\/strong><\/p>\n<\/div>\n<ol>\n<li class=\"MsoNormal\">Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere&#8217;s disease. American Academy of Otolaryngology-Head and Neck Foundation, Inc. Otolaryngol Head Neck Surg. 1995 Sep;113(3):181-5. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7675476\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li class=\"MsoNormal\">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&#8217;s disease: have they been applied in the published literature of the last decade? Clin Otolaryngol Allied Sci. 2003 Jun;28(3):173-6. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12755750\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: May 07, 2006<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[139],"tags":[16,15,14,13,51,50,1709,1300,1623],"class_list":["post-2558","post","type-post","status-publish","format-standard","hentry","category-otolaryngology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-disease","tag-enfermedad","tag-meniere","tag-neurology","tag-orl"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2558","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2558"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2558\/revisions"}],"predecessor-version":[{"id":10022,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2558\/revisions\/10022"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2558"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2558"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}