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J Vestib Res. 2015;25(1):1-7. doi: 10.3233/VES-150549.

Diagnostic criteria for Menière's disease.

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Otology and Neurotology Group CTS495, Department of Genomic Medicine, Centre for Genomics and Oncology Research - Pfizer/Universidad de Granada/Junta de Andalucía (GENyO), PTS, Granada, Spain Department of Otolaryngology, Hospital de Poniente, El Ejido, Almeria, Spain.
Department of Otolaryngology, Head and Neck Surgery, John Hopkins University School of Medicine, Baltimore, MD, USA.
Department of Otolaryngology, Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan Univerisity School of Medicine, Seoul, Korea.
Department of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Department of Otolaryngology, University of Lund, Lund, Sweden.
Otology and Skull Base Department, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
Department of Neurology, John Hopkins University School of Medicine, Baltimore, MD, USA.
Department of Neurology and German Center for Vertigo and Balance Disorders, Ludwig-Maximilians University, Munich, Germany.
Department of Otolaryngology, Tokyo Medical University, Tokyo, Japan.
Department of Neurology, Centre Hospitalier Emile Mayrisch, Esch-sur-Alzette, Luxembourg.


This paper presents diagnostic criteria for Menière's disease jointly formulated by the Classification Committee of the Bárány Society, The Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology (EAONO), the Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) and the Korean Balance Society. The classification includes two categories: definite Menière's disease and probable Menière's disease. The diagnosis of definite Menière's disease is based on clinical criteria and requires the observation of an episodic vertigo syndrome associated with low- to medium-frequency sensorineural hearing loss and fluctuating aural symptoms (hearing, tinnitus and/or fullness) in the affected ear. Duration of vertigo episodes is limited to a period between 20 minutes and 12 hours. Probable Menière's disease is a broader concept defined by episodic vestibular symptoms (vertigo or dizziness) associated with fluctuating aural symptoms occurring in a period from 20 minutes to 24 hours.


Meniere disease; Vertigo; sensorineural hearing loss; tinnitus; vestibular disorders

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