ABSTRACT
The AAO-HNS classification is far from ideal and ranges from diagnostic certainty, which is possible only after post-mortem histopathological examination, to differential diagnostic speculation.
Another diagnostic tool, the Gibson 10-point score,2 also relies on clinical symptoms and looks
to determine their presence and interaction with each other (Table 11.2). The greater the number of characteristic symptoms, the higher the score and hence the greater the likelihood of Ménière’s disease. A score of seven or more is highly suggestive.
