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Silverstein H et al. - Cochlear hyrops has been described as a variant or early manifestation of Meniere disease in which the patient experiences fluctuating hearing loss with tinnitus and aural fullness or pressure. This condition is believed to be caused by an elevated level of endolymphatic pressure, which is likely due to poor absorption from the endolymphatic sac or excess secretion of endolymph, and results in distention of Reissner's membrane. The clinical presentation of patients with cochlear, or endolymphatic, hydrops is variable, although patients presenting with fluctuating hearing seem to outnumber those presenting with true Méniere disease.

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