The AAO-HNS 2020 diagnostic criteria for DEFINITE Meniere's disease require which combination?

• A Two or more vertigo episodes >20 min each AND audiometric low-frequency SNHL AND fluctuating aural symptoms AND not better accounted for by another diagnosis
• B Episodic vertigo >20 min AND bilateral SNHL AND positive electrocochleography SP/AP ratio >0.4
• C Two or more spontaneous vestibular episodes 20 min to 12 hours AND audiometrically documented SNHL in the affected ear on at least one occasion AND fluctuating aural symptoms AND not better explained by another vestibular diagnosis ✓
• D Vertigo episodes >20 minutes AND caloric weakness on VNG AND low-frequency SNHL on two audiograms 6 weeks apart

Explanation

AAO-HNS 2020 criteria for definite Meniere's disease: (1) Two or more spontaneous episodes of vestibular vertigo, each lasting 20 minutes to 12 hours (the upper limit of 12 hours excludes prolonged attacks suggesting other diagnoses); (2) Audiometrically documented low-to-mid-frequency SNHL in the affected ear on at least one occasion before, during, or after an episode; (3) Fluctuating aural symptoms (hearing, tinnitus, or fullness) in the affected ear; (4) Not better accounted for by another vestibular diagnosis. Electrocochleography and caloric testing support the diagnosis but are not required for definite classification.

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.