Meniere's disease diagnosis calculator

 

Timothy C. Hain, MD of Chicago Dizziness and Hearing•Most recent update: July 29, 2022

See also: Questionnaires for dizziness.PPPD calculatorVestibular migraine (VM) calculator.MdDS calculator

This calculator attempts to determine whether or not an individual has symptoms that might meet the criteria for Meniere's disease as outlined by Dr. Lopez-Escamez and associates in the 2015 article referenced below. This calculator both asks questions about symptoms and asks for descriptions of hearing tests. You may need the assistance of a health care provider (such as an audiologist) to answer the questions about the hearing test. The criteria on which this page is set up to assess are here: men_criteria

Disclaimer: The content, drawn from the 2015 Meniere's "consensus" paper, does not necessarily reflect the opinions of Dr. Hain.This page is not a substitute for medical care, and by itself, it does not establish a diagnosis. It is not written for or appropriate for use in legal endeavors. Answers are not stored. If you wish to retain this result, please print or save this page.

Calculator

Please check the boxes below, and then click "evaluate".

A. Vertigo

Have you had any unprovoked episodes of vertigo? By unprovoked we mean that they were not triggered by head position or head movement. By vertigo, we mean spinning.

I do not have vertigo spells.
I have had one vertigo spell, lasting 20 minutes to 12 hours.
I have two or more vertigo spells, each lasting 20 minutes to 12 hours.
I have had two or more vertigo spells, lasting 20 minutes to 24 hours.

B1. Hearing loss

Hearing loss type (documented by audiometry) in the affected ear




C. Timing of symptoms other than vertigo.

Check symptom(s) and timing in the affected ear if present. (You can check more than one, or check none. )





Click to score

Note that according to the 2015 paper referenced below, in addition to meeting the criteria above, which are listed as items A-C in the paper, there is one additional diagnostic criteria, which is determined by your health care provider:

The criteria paper of 2015 provides a table of differential diagnosis for the symptom collection/hearing pattern that qualifies one for Meniere's. This includes 'genetic disorders, autoimmune inner ear disease including Cogan's, stroke or transient ischemic attack, endolymphatic sac tumor, masses in the CP angle, Lyme, otosyphilis, Susac syndrome, various 3rd window syndromes (PLF, canal dehiscense, enlarged vestibular aqueduct), vestibular migraine, vestibular  paroxysmia,  vestibular schwannoma, and VKH'. Some of these are extremely rare, but still this means that common disorders such as vestibular disorders including acoustic neuroma, BPPV, SCD, vestibular migraine, vestibular paroxysmia, vestibular neuritis, should not be also present and be a better explanation for symptoms than Meniere's disease. These are usually ruled out by seeing a specialist physician and having inner ear tests done.

If you meet the criteria for "probable" Meniere's, but not "definite Meniere's", we think the "probable" criteria are too loose and perhaps a better descriptive word would be "possible" Meniere's. See our comment on the criteria on this page:

We offer consultations regarding Meniere's disease at Chicago Dizziness and Hearing.•Our current diagnostic and treatment recommendations are discussed on this page

References: