RT Book, Section A1 Stone, John H. A1 Francis, Howard W. A2 Stone, John H. SR Print(0) ID 1180198853 T1 Sensorineural Hearing Loss (Immune-Mediated Inner Ear Disease) T2 Current Diagnosis & Treatment: Rheumatology, 4e YR 2021 FD 2021 PB McGraw Hill PP New York, NY SN 9781259644641 LK accessmedicine.mhmedical.com/content.aspx?aid=1180198853 RD 2024/04/20 AB When sensorineural hearing loss occurs in the context of an inflammatory condition, it is referred to most appropriately as immune-mediated inner ear disease (IMIED).May be associated with disturbances of balance as well as hearing loss because the inner ear mediates vestibular function as well as hearing.May occur as a primary inner ear problem or as a complication of a recognized inflammatory condition such as Cogan syndrome, granulomatosis with polyangiitis, Susac syndrome, giant cell arteritis, Sjögren syndrome, and others.Symptoms include tinnitus, vertigo, nausea, and difficulties with two issues related to hearing: acuity and speech discrimination.