Vertigo. The symptoms of meniere's are variable and can present at different times. Patients can get spontaneous episodes of vertigo with or without nausea and vomiting, ringing in the ears, progressive hearing loss, or feeling of pressure in the ears. These symptoms may also present in conditions such as thyroid dysfunction, autoimmune disease, acoustic neuroma, multiple sclerosis, and must be ruled out.
Inner ear disorders. Meniere's disease is a disorder of some combination of tinnitus (ringing in ears), hearing deficit, and vertigo that occurs episodically. Any disorder that affects the inner ear would need to be ruled out before a definite DX is made. These would include acoustic neuroma, certain brain tumors, infections or vessel disorders affecting the cns, vasculitis...Ceetain diagnostic tests will be needed.