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,
Vestibule of the ear part of the recessus ellipticus are perforated by a number of holes (macula cribosa superior). The apertures in the pyramid transmit the nerves to the utricle; those in the recessus ellipticus are the nerves to the ampullæ of the superior and lateral semicircular ducts. Behind, the five orifices of the semicircular canals can be found. In the frontal view, there is an elliptical opening which communicates with the scala vestibuli of the cochlea. Vestibule of the ear The vestibule is the central part of the bony labyrinth in the inner ear, and is situated medial to the eardrum (tympanic cavity),