Meniere’s Disease: Classification

Diagnostic criteria of Meniere’s disease of the International Classification Committee of the Bárány Society:

  • Two or more episodes of spontaneously occurring vertigo, each of duration between 20 minutes and 12 hours.
  • Audiometrically proven sensorineural hearing loss in the low-to-moderate frequency range in an ear defining the affected ear on at least one examination before, during, or after an episode of vertigo [6,7].
  • Fluctuating ear symptoms (hearing loss, pressure sensation, tinnitus (ringing in the ears)) in the affected ear.
  • Not better explained by another disease.

More likely M. Meniere’s disease:

  • Two or more episodes of spinning or fluctuating vertigo, lasting 20 minutes to 24 hours.
  • Fluctuating ear symptoms (hearing loss, sensation of pressure, or tinnitus (ringing in the ears) in the affected ear)
  • Not better explained by other diseases

Alternatively, see 1995 AAO-HNS criteria.