Menieres disease
- Thread starter Globe2280
- Start date
From the eCFR (eCFR — Code of Federal Regulations)
6205 Meniere's syndrome (endolymphatic hydrops):
6205 Meniere's syndrome (endolymphatic hydrops):
Hearing impairment with attacks of vertigo and cerebellar gait occurring more than once weekly, with or without tinnitus | 100 |
Hearing impairment with attacks of vertigo and cerebellar gait occurring from one to four times a month, with or without tinnitus | 60 |
Hearing impairment with vertigo less than once a month, with or without tinnitus | 30 |
Note: Evaluate Meniere's syndrome either under these criteria or by separately evaluating vertigo (as a peripheral vestibular disorder), hearing impairment, and tinnitus, whichever method results in a higher overall evaluation. But do not combine an evaluation for hearing impairment, tinnitus, or vertigo with an evaluation under diagnostic code 6205. |
Are the symptoms strictly what they go by or the diagnosis of the ent (probable Ménière’s). There is also definitive Ménière’s disease, in contrast to probable, it show an hearing exam before or after an attack. I wonder if this is necessary to get that high rating or if the only look st the symptoms and frequency?
Its hard to be exact without knowing or reviewing the medical documentation and any line of duty determinations if you're not on active status. The majority of the descision will be based on the sypmtoms and their severity. If there is no diagnosis now, they will more than likely treat you as such, while potentially ruling anything else out. Sounds like you're still a ways away from anything cetain though.
I am currently active duty and they are putting me in for a MEB for the Ménière’s. Will this be disqualifying/unfit for an aircraft maintainer. I do occasionally miss work due to a vertigo attack. Have been seeing an entziffern base and he concluded testing is probable Ménière’s. His prognosis will be sent on base and the pcm will write a Narsum.
If it is as likely as not that you have Meniere's Disease then the VA will award you compensation for the same.
If the IPEB does no find it unfitting you can appeal to the FPEB. I always recommend counsel when going to the FPEB. The Services all provide counsel for those in the PEB process.
If the IPEB does no find it unfitting you can appeal to the FPEB. I always recommend counsel when going to the FPEB. The Services all provide counsel for those in the PEB process.
Hopefully I will be found unfit. I am trying to be as proactive as possible in regards to getting everything annotated in my medicslnfiles f.e I asked my entbot include the sour bod episodesni get per week and cerebellar gait, which is one of the requirement in code 6205
Sorry auto correct. Hopefully I will be found unfit. I am trying to be as proactive as possible in regards to getting everything annotated in my medical files. For example, I asked my ent to include the amount of attacks I get per week and the cerebellar gait statement which is apparently a must have statement for code 6205
It is good to know what outcome you desire and good to take action to make it happen. I applaud your self efficacy.
Good morning Globe,
The only definitive way to know you've been officially diagnosed with Meniere's disease, is if you've received a VNG and ENG test. If you're experiencing MD bilaterally, you'll need a rotary chair test. Also, you will have to receive an MRI in order to rule out anything like MS or a brain tumor, that has similar symptoms but different ratings and treatment options.
Talk to your ENT doctors and see if these tests are relevant to you, I've read several cases that have come out inconclusive because of the lack of evidence required to win a case for Meniere's. Though the disease is idiopathic in nature, it can be confused with countless other diagnoses.
Best Wishes!
The only definitive way to know you've been officially diagnosed with Meniere's disease, is if you've received a VNG and ENG test. If you're experiencing MD bilaterally, you'll need a rotary chair test. Also, you will have to receive an MRI in order to rule out anything like MS or a brain tumor, that has similar symptoms but different ratings and treatment options.
Talk to your ENT doctors and see if these tests are relevant to you, I've read several cases that have come out inconclusive because of the lack of evidence required to win a case for Meniere's. Though the disease is idiopathic in nature, it can be confused with countless other diagnoses.
Best Wishes!
Impulse,
Thanks for the response. I have had a vng which turned out normal. The ent doc told me that this was used to rule out other conditions. He has diagnosed me with Ménière’s (probable). Probable Ménière’s, according to the international medical agreement is the same as definitive minus a audio gram before, during or shortly after an attack. I have not been able to make it to my ent during or after an episode. Was wondering if this would be enough for a VA claim or if more evidence is needed that I can work on now while in active duty
Thanks for the response. I have had a vng which turned out normal. The ent doc told me that this was used to rule out other conditions. He has diagnosed me with Ménière’s (probable). Probable Ménière’s, according to the international medical agreement is the same as definitive minus a audio gram before, during or shortly after an attack. I have not been able to make it to my ent during or after an episode. Was wondering if this would be enough for a VA claim or if more evidence is needed that I can work on now while in active duty
If a VNG turns out normal and you have retained functionality within your vestibular organs and the subsequent canals, you may be fighting an uphill battle. Usually vertigo caused by the vestibulocochlear nerve displays abnormalities in these tests, which either show weakness in response or no response at all.
I wouldn't take a probable as a definitive. Since the VNG came back normal, I don't think it is as likely as not. But someone with more experience than me, may have better insight. Do you know if you have peripheral nystagmus? Usually this occurs after having MD for awhile, due to the diseased functional state of the vestibular system.
If you are having these symptoms of vertigo and they've already made you take a VNG, which came back normal. It is imperative that you get an MRI done, you could possibly have something else. Take care of your health first, notify your doctor about your concerns.
I hope everything turns out the best for you! Until next time.
I wouldn't take a probable as a definitive. Since the VNG came back normal, I don't think it is as likely as not. But someone with more experience than me, may have better insight. Do you know if you have peripheral nystagmus? Usually this occurs after having MD for awhile, due to the diseased functional state of the vestibular system.
If you are having these symptoms of vertigo and they've already made you take a VNG, which came back normal. It is imperative that you get an MRI done, you could possibly have something else. Take care of your health first, notify your doctor about your concerns.
I hope everything turns out the best for you! Until next time.
Yesterday I did my C&P with an audiologist for my hearing, tinnitus and Menieres. It was with a VES contractor and she was so disorganized. She told me she doesn't do vertigo testing in her office anymore, so she just did the hearing tests. Didn't ask me any questions regarding the menieres as far as how frequent, severe, N&V, etc. And in the end she didn't want any of the paperwork I had prepared for her. I have another appointment on Friday and hopefully we can revisit the menieres then.