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[Comment] Ménière’s disease: damaged hearing but reduced vertigo

Current thinking is that Ménière’s disease (or, more accurately, Ménière’s syndrome) is a phenotype of unstable or erratic inner ear hearing and vestibular function that arises from failure of one or more of the many inner ear homoeostatic systems that regulate endolymph and perilymph, afferent and efferent nerve signalling, and blood flow.1 Clinically, the fluctuating and progressive sensorineural hearing loss tends to be relatively resistant to treatment (ie, progressive), but the episodic vertigo is usually quite responsive to treatment.