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 top of the head, and in some teleosts, it is simply blind-ending. In all other species, however, it ends in an endolymphatic sac. In many reptiles, fish, and amphibians this sac may reach considerable size. In amphibians the sacs from either side may fuse into a single structure, which often extends down the length of the body, parallel with the spinal canal. The primitive lampreys and hagfish, however, have a simpler system. The inner ear in these species consists of a single vestibular chamber, although in lampreys, this is associated with a series of sacs lined by cilia. Lampreys have