HSC Section 8_April 2017

Otolaryngology–Head and Neck Surgery 154(3)

Table 1. 1995 AAO-HNS Guidelines for Diagnosis of Me´nie`re’s Disease. 1

Certain Definite

Definite Me´nie`re’s disease, plus histopathologic confirmation of hydrops Two or more definitive spontaneous episodes of vertigo 20 min or longer Audiometrically documented hearing loss on at least 1 occasion Tinnitus or aural fullness in the treated ear Other causes excluded One definitive episode of vertigo Audiometrically documented hearing loss on at least 1 occasion Tinnitus or aural fullness in the treated ear Other causes excluded

Probable

Possible

Episodic vertigo of the Me´nie`re’s type without documented hearing loss or Sensorineural hearing loss, fluctuating or fixed, with disequilibrium but without definitive episodes Other causes excluded

Table 2. Amended 2015 Criteria for Diagnosis of Menie`re’s Disease.

Definite

Two or more spontaneous episodes of vertigo, each lasting 20 min to 12 h Audiometrically documented low- to midfrequency sensorineural hearing loss in 1 ear, defining the affected

ear on at least 1 occasion before, during, or after 1 of the episodes of vertigo Fluctuating aural symptoms (hearing, tinnitus, or fullness) in the affected ear Not better accounted for by another vestibular diagnosis Two or more episodes of vertigo or dizziness, each lasting 20 min to 24 h Fluctuating aural symptoms (hearing, tinnitus, or fullness) in the affected ear Not better accounted for by another vestibular diagnosis

Probable

in the affected ear only in the ‘‘definite’’ category, and (3) a defined range of vertigo duration. The committee did not address additional topics in the International Classification of Vestibular Disorders document regarding etiology or therapy and felt that a more thorough review of the entire disease process via a clinical practice guideline would be more appropriate.

Sponsorships: Equilibrium Committee, American Academy of Otolaryngology—Head and Neck Surgery. Funding source: None.

References

1. Committee on Hearing and Equilibrium. Guidelines for the diag- nosis and evaluation of therapy in Menie`re’s disease. Otolaryngol Head Neck Surg . 1995;113:181-185. 2. Lopez-Escamez JA, Carey J, Chung WH, et al. Diagnostic cri- teria for Me´nie`re’s disease. J Vestib Res . 2015;25;1-7.

Author Contributions Joel A Goebel , complete authorship.

Disclosures Competing interests: Joel A. Goebel, Micromedical Technologies— speaker’s bureau, honoraria; Lippincott Williams & Wilkins, Practical Management of the Dizzy Patient —book royalty.

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