Ménière's disease turn, is strongly associated with developing MD, but not everyone with EH develops MD: "The relationship between endolymphatic hydrops and Meniere's disease is not a simple, ideal correlation." Additionally, in fully developed MD the balance system (vestibular system) and the hearing system (cochlea) of the inner ear are affected, but there are cases where EH affects only one of the two systems strong enough to cause symptoms. The corresponding subtypes of MD are called "vestibular MD", showing symptoms of vertigo, and "cochlear MD", showing symptoms of hearing loss and tinnitus. The mechanism of MD is not fully explained by EH,
Inner ear duct. All of these structures together constitute the cochlea. In mammals (other than monotremes), the cochlea is extended still further, becoming a coiled structure in order to accommodate its length within the head. The organ of Corti also has a more complex structure in mammals than it does in other amniotes. The arrangement of the inner ear in living amphibians is, in most respects, similar to that of reptiles. However, they often lack a basilar papilla, having instead an entirely separate set of sensory cells at the upper edge of the saccule, referred to as the papilla amphibiorum, which appear