Related Experiment Video
Updated: Aug 12, 2026

In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears
Published on: February 21, 2018
Immunologic abnormality in Menière's disease
1Department of Otolaryngology, Shiga University of Medical Science, Otsu, Japan.
Insights
Meniere
Area of Science:
- Immunology
- Otolaryngology
- Rheumatology
Background:
- Meniere's disease is a complex inner ear disorder.
- Potential immunologic factors in Meniere's disease remain under investigation.
Observation:
- Immune parameters including erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), immunoglobulins (IgG, IgM, IgA), complement (C3, C4, CH50), and autoantibodies were assessed.
- Severe immunologic abnormalities were identified in 16% of bilateral and 2% of unilateral Meniere's disease cases.
Findings:
- Patients with severe immunologic abnormalities presented with bilateral severe hearing loss and decreased vestibular response.
- These patients demonstrated excellent responsiveness to steroid treatment.
Implications:
- Immunologic involvement may play a significant role in a subset of Meniere's disease patients, particularly those with bilateral symptoms.
- Investigating immunologic abnormalities is crucial for understanding Meniere's disease pathogenesis and optimizing treatment strategies.
Abstract:
Patients with Meniere's disease were investigated for possible immunologic abnormalities. A total of 104 cases--55 bilateral and 49 unilateral--were examined. Immune activity was assessed using four types of immune parameters: (1) the erythrocyte sedimentation rate (ESR) and C-reactive protein levels (CRP); (2) serum immunoglobulin levels (IgG, IgM, and IgA); (3) complement levels (C3, C4, and CH50); and (4) autoantibody levels (rheumatoid factor, anti-DNA antibody, and antinuclear antibody). Patients with severe immunologic abnormalities (16% of the bilateral cases and 2% of the unilateral cases) typically displayed bilateral severe hearing loss, bilateral decreased vestibular response, and excellent responsiveness to steroid treatment. As patients with bilateral involvement account for approximately 30% of all cases of Meniere's disease in Japan, immunologic involvement may be assumed in about 6% of the total. The severity of these patients' symptoms and their responsiveness to steroid treatment suggest that the possibility of immunologic involvement is well worth investigation in Meniere's disease.
Related Concept Videos
Mitral Valve Prolapse I: Introduction
Mitral Stenosis I: Introduction
Myasthenia Gravis ll: Pathophysiology

