Increased intracranial pressure affects inner ear function

What is it about?

Changes in intracranial pressure can be reflected on inner ear fluids. These changes can mimic hydrops . The end results is a symptomatic complex of fullness, hearing loss and vertigo. The concurrence of radiological findings and a therapeutic response to maneuvers affecting CSF dynamics confirm the diagnosis.

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Why is it important?

Patients with the tetrad of tinnitus,hearing loss, vertigo and fullness are often diagnosed as Meneiere's disease. However failure of medical treatment may imply the use of more invasive or destructive treatments. Awareness of the effect of intracranial pressure changes and their effect on the inner ear may change the diagnostic and therapeutic approach to some of these patients