Meniere's Disease — Practice
A 42-year-old woman presents with episodic vertigo lasting 20 minutes to several hours, accompanied by a sensation of fullness and low-frequency roaring tinnitus in the right ear, with documented fluctuating sensorineural hearing loss. According to the consensus diagnostic criteria, which audiometric pattern most strongly supports the diagnosis of Meniere's disease?
AConductive loss with an air-bone gap of 40 dB
BBilaterally symmetrical high-frequency notch at 4 kHz
CFlat sensorineural loss that is non-fluctuating
DLow-to-medium frequency sensorineural loss in the affected ear during attacks