RT Book, Section A1 Stone, John H. A1 Francis, Howard W. A2 Imboden, John B. A2 Hellmann, David B. A2 Stone, John H. SR Print(0) ID 57276179 T1 Chapter 68. Sensorineural Hearing Loss (Immune-Mediated Inner Ear Disease) T2 CURRENT Diagnosis & Treatment: Rheumatology, 3e YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-163805-0 LK accessmedicine.mhmedical.com/content.aspx?aid=57276179 RD 2024/04/17 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 (formerly Wegener granulomatosis), giant cell arteritis, Sjögren syndrome, and others.Symptoms include tinnitus, vertigo, nausea, and difficulties with two issues related to hearing: acuity and speech discrimination.