Meniere disease and meniere syndrome
Meaning of meniere disease and meniere syndrome: For the purposes of this Statement of Principles, Meniere disease: (a) means a primary (idiopathic) pathology affecting both the cochlea and the vestibular apparatus of the labyrinth on the same side with clinical manifestations of episodic attacks of: (i) vertigo; (ii) sensorineural hearing loss; and/or (iii) tinnitus; (iv) occurring all on the same side; and (b) includes primary endolymphatic hydrops; and (c) excludes vestibular migraine.
Reasonable Hypothesis (RH) — Statement of Principles No. 68 of 2024
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting Meniere disease and Meniere syndrome or death from Meniere disease and Meniere syndrome with the circumstances of a person's relevant service:
- (1)having a moderate to severe traumatic brain injury within the 6 months before clinical onset or clinical worsening;
- (2)having otosyphilis of the affected ear at the time of clinical onset;
- (3)having any of the following autoimmune diseases before clinical onset; (a) ankylosing spondylitis; (b) Hashimoto thyroiditis; (c) rheumatoid arthritis; (d) systemic lupus erythematosus; (e) Cogan syndrome; (f) Susac syndrome; (g) Vogt-Koyanagi-Harada syndrome; or (h) psoriatic arthritis;
- (4)having middle ear or inner ear surgery at least 2 months before clinical onset;
- (5)taking hydroxychloroquine in the 5 months before clinical onset;
- (6)taking amikacin, gentamicin, or tobramycin before clinical onset;
- (7)inability to obtain appropriate clinical management for Meniere disease and Meniere syndrome before clinical worsening;
Balance of Probabilities (BoP) — Statement of Principles No. 69 of 2024
4 factors
At least one of the following factors must exist before it can be said that, on the balance of probabilities, Meniere disease and Meniere syndrome or death from Meniere disease and Meniere syndrome is connected with the circumstances of a person's relevant service:
- (1)having a moderate to severe traumatic brain injury within the 3 months, before clinical onset or clinical worsening;
- (2)having otosyphilis of the affected ear at the time of clinical onset;
- (3)having middle ear or inner ear surgery at least 2 months before clinical onset;
- (4)inability to obtain appropriate clinical management for Meniere disease and Meniere syndrome before clinical worsening;
