Vestibular signs and symptoms in Meniere's disorder: mechanical considerations.

Considerations of available evidence suggests that the vestibular signs and symptoms of typical Meniere attacks with return to normal function in the interval have mechanical causes as has long been advocated for their auditory counterparts. Membrane ruptures, the alternative explanation, are suggested to be the cause of the severe, and usually singular, attacks that are immediately followed by permanent auditory and vestibular impairments.