Contralateral endolymphatic hydrops ID'd in one in four patients with unilateral Meniere disease
Medical Xpress
February 25, 2026
AI-Generated Deep Dive Summary
A recent study published in *Acta Oto-Laryngologica* reveals that nearly one-quarter of patients with unilateral Meniere disease exhibit contralateral endolymphatic hydrops, a condition characterized by fluid buildup in the inner ear. This finding underscores the importance of considering both ears when diagnosing and managing Meniere disease, even if symptoms initially present unilaterally.
Meniere disease is a disorder affecting the inner ear, causing vertigo, hearing loss, and tinnitus. The study, which included 106 patients with unilateral Meniere disease, found that endolymphatic hydrops—the abnormal accumulation of fluid in the scala media—was detected in 24.2% of the contralateral ears. This condition is closely linked to the symptoms of Meniere disease and can contribute to its progression.
The researchers emphasize that identifying contralateral endolymphatic hydrops early could have significant implications for treatment strategies. Early intervention may help manage symptoms, prevent disease progression, and improve patient outcomes. The study highlights the need for clinicians to thoroughly evaluate both ears in patients with unilateral Meniere disease to ensure comprehensive care.
This discovery adds valuable insight into the pathophysiology of Meniere disease and opens new avenues for research and treatment. By understanding the contralateral involvement, healthcare providers can develop more effective management plans tailored to individual patient needs, ultimately improving quality of life for those living with this condition.
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Originally published on Medical Xpress on 2/25/2026