Document ID: chunk:federal_register_of_legislation:F2024L01047:reg:9
Version: federal_register_of_legislation:F2024L01047
Segment Type: reg
Provision Reference: reg 9
Character Range: 4900–6194

9               Factors that must exist
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting Meniere disease and Meniere syndrome or death from Meniere disease and Meniere syndrome with the circumstances of a person's relevant service:
(1)          having a moderate to severe traumatic brain injury within the 6 months before clinical onset or clinical worsening;
(2)          having otosyphilis of the affected ear at the time of clinical onset;
(3)          having any of the following autoimmune diseases before clinical onset;
(a)          ankylosing spondylitis;
(b)          Hashimoto thyroiditis;
(c)          rheumatoid arthritis;
(d)          systemic lupus erythematosus;
(e)          Cogan syndrome;
(f)           Susac syndrome;
(g)          Vogt-Koyanagi-Harada syndrome; or
(h)          psoriatic arthritis.
(4)          having middle ear or inner ear surgery at least 2 months before clinical onset;
(5)           taking hydroxychloroquine in the 5 months before clinical onset;
(6)          taking amikacin, gentamicin, or tobramycin before clinical onset;
(7)          inability to obtain appropriate clinical management for Meniere disease and Meniere syndrome before clinical worsening.