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Abstract

Ménière's disease (MD) is a chronic illness of the inner ear. It is characterised by intermittent episodes of vertigo lasting from minutes to hours, with sensor neural, usually fluctuating, hearing loss, tinnitus, and aural pressure. Diagnosis is mainly based on clinical course and MD is usually considered as a multifactorial disease. Thus there are not yet evidences of a specific treatment. Authors start from a particular case of MD patient that was completely healed after tonsillectomy, an absolute unusual treatment for this kind of disease. On the basis of Literature and their studies about the role of vascular, viral, allergologic and immunologic disorders in MD patients, Authors speculates about the Brain Lymphatic System as an unitary explanation of the effects of infective foci, like chronic palatine tonsils, viral infections, inner ear epitopes activation and allegro-immunologic disturbances in MD pathogenesis. This kind of approach, in the aim of the Authors, may help to better planning a tailored treatment for the patient.