Ménière's disease Ménière's disease Ménière's disease (MD) is a disorder of the inner ear that is characterized by episodes of feeling like the world is spinning (vertigo), ringing in the ears (tinnitus), hearing loss, and a fullness in the ear. Typically only one ear is affected, at least initially; however, over time both ears may become involved. Episodes generally last from 20 minutes to a few hours. The time between episodes varies. Over time the hearing loss and ringing in the ears may become constant. The cause of Ménière's disease is unclear but likely involves both genetic and environmental factors. A number
Stereocilia (inner ear) located at the base of the hair cell. Deflections of the stereocilia in the opposite direction toward the shortest stereocilia causes transduction channels to close. In this situation, the hair cells become hyperpolarized and the nerve afferents are not excited. There are two different types of fluid that surround the hair cells of the inner ear. The endolymph is the fluid that surrounds the apical surfaces of hair cells. Potassium is the major cation in the endolymph and is thought to be responsible for carrying the receptor currents in the cochlea. Perilymph is found surrounding the sides and the bases