Table 1 Diagnostic criteria of Ménière’s disease and vestibular migraine.
From: MRI can help differentiate Ménière’s disease from other menieriform diseases
Definite Ménière’s disease | Probable Ménière’s disease | Definite vestibular migraine | Probable vestibular migraine |
|---|---|---|---|
Two or more spontaneous episodes of vertigo, each lasting 20 min to 12 h | Two or more episodes of vertigo or dizziness, each lasting 20 min to 24 h | At least five episodes with vestibular symptoms of moderate or severe intensity, lasting 5 min to 72 h | At least five episodes with vestibular symptoms of moderate or severe intensity, lasting 5 min to 72 h |
Audiometrically documented low- to medium-frequency sensorineural hearing loss in one ear, defining the affected ear on at least one occasion before, duringor after one of the episodes of vertigo | Fluctuating aural symptoms (hearing, tinnitus or fullness) in the affected ear | Current or previous history of migraine with or without aura according to the ICHD | Only one of the criteria B and C for vestibular migraine is fulfilled (migraine history or migraine features during the episode) |
Fluctuating aural symptoms (hearing, tinnitus or fullness) in the affected ear | Not better accounted for by another vestibular diagnosis | One or more migraine features with at least 50% of the vestibular episodes | Not better accounted for by another vestibular or ICHD diagnosis |
Not better accounted for by another vestibular diagnosis | – | Not better accounted for by another vestibular or ICHD diagnosis | – |
