Which finding on the 2015 Barany Society criteria is essential to diagnose 'definite Meniere's disease' (as opposed to probable Meniere's)?

• A Low-frequency sensorineural hearing loss confirmed on audiogram on at least one occasion ✓
• B Positive Dix-Hallpike test
• C MRI showing endolymphatic hydrops on gadolinium-enhanced MRI
• D Abnormal caloric testing with canal paresis >30%

Explanation

According to the 2015 Barany Society/IFOS consensus criteria, definite Meniere's disease requires: (1) two or more spontaneous vertigo attacks lasting 20 minutes to 12 hours; (2) audiometrically documented low-to-mid frequency sensorineural hearing loss in the affected ear on at least one occasion before, during, or after one of the episodes of vertigo; (3) fluctuating aural symptoms (hearing loss, tinnitus, or aural fullness) in the affected ear; (4) not better accounted for by another vestibular diagnosis. Probable Meniere's requires typical symptoms but without audiometric confirmation.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.