The 2020 AAO-HNS criteria for a 'definite' Meniere's disease diagnosis requires all of the following EXCEPT:

• A MRI showing gadolinium enhancement of the endolymphatic sac ✓
• B Two or more spontaneous episodes of vertigo lasting 20 minutes to 12 hours
• C Audiometrically documented low- to mid-frequency sensorineural hearing loss in the affected ear
• D Fluctuating aural symptoms (fullness, tinnitus, or hearing change) in the affected ear

Explanation

The 2015 Barany Society / AAO-HNS revised diagnostic criteria for definite Meniere's disease require: (1) ≥2 spontaneous vertigo episodes, each lasting 20 min to 12 hours; (2) low-to-mid frequency SNHL documented on audiometry in the affected ear on at least one occasion before, during, or after a vertigo episode; (3) fluctuating aural symptoms (hearing loss, tinnitus, and/or ear fullness) in the affected ear; (4) symptoms not better explained by another vestibular diagnosis. Gadolinium-enhanced MRI showing endolymphatic hydrops is a research/supportive finding but is NOT part of the diagnostic criteria.

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.