Evidence Checklist: Meniere's Disease (Endolymphatic Hydrops)

ENT/neurotology evaluation documenting Meniere's diagnosisCritical

Records from an ear, nose, and throat specialist or neurotologist documenting the classic triad: episodic vertigo, fluctuating sensorineural hearing loss, and tinnitus/aural fullness.

Nexus opinion linking Meniere's disease to service (noise exposure, barotrauma)Critical

Medical opinion connecting Meniere's to in-service noise exposure, barotrauma, head trauma, or other service event.

Audiogram series documenting fluctuating low-frequency SNHLCritical

Serial audiograms showing the characteristic low-frequency or flat sensorineural hearing loss that fluctuates with Meniere's attacks.

Vertigo episode log documenting frequency and duration

Your own or treating physician's documentation of vertigo attack frequency, duration, and prostrating nature — key for rating level.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.