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 only two semicircular canals, with the horizontal canal being absent, while hagfish have only a single, vertical, canal. The inner ear is primarily responsible for balance, equilibrium and orientation in three-dimensional space. The inner ear can detect both static and dynamic equilibrium. Three semicircular ducts and two chambers, which contain the saccule and utricle, enable the body to detect any deviation from equilibrium. The macula sacculi detects vertical acceleration while the macula utriculi is responsible for horizontal acceleration. These microscopic structures possess stereocilia and one kinocilium which are located within the gelatinous otolithic membrane. The membrane is further weighted with