Ménière’s disease: management in primary care

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Table 1.

Diagnostic criteria in Ménière’s disease³

Diagnostic certainty	Criteria
Definite	≥2 spontaneous episodes of vertigo lasting 20 minutes to 12 hours Audiometrically confirmed low-to-medium-frequency sensorineural hearing loss in one ear, before/during/after an episode of vertigo Fluctuating aural symptoms (fullness, tinnitus, hearing loss) in affected ear Not better accounted for by another diagnosis
Probable	≥2 spontaneous episodes of vertigo lasting 20 minutes to 24 hours Fluctuating aural symptoms (fullness, tinnitus, hearing loss) in affected ear Not better accounted for by another diagnosis