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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.
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.
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.
Table 1.
1995 AAO-HNS Guidelines for Diagnosis of Me´nie`re’s Disease.
1
Certain
Definite Me´nie`re’s disease, plus histopathologic confirmation of hydrops
Definite
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
Probable
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
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
Probable
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
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