A Clear Guide to Autoimmune Inner Ear Disease
Professional Care for Autoimmune Inner Ear Disease
Autoimmune inner ear disease can cause fluctuating hearing loss, tinnitus, or imbalance as the immune system affects inner ear structures. For many people, symptoms respond well to early treatment. Rapidly worsening hearing, symptoms affecting both ears, severe vertigo, neurological changes, or sudden hearing loss require urgent audiovestibular medicine assessment and specialist care.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Immune-Related Hearing Changes
An Overview of Autoimmune Inner Ear Disease
Autoimmune inner ear disease is a rare condition where the body's immune system mistakenly targets structures within the inner ear. This immune response can interfere with hearing and balance by causing inflammation that affects how sound and movement signals are processed. Symptoms often develop over weeks rather than years and may fluctuate, making them feel unpredictable.
The condition commonly affects both ears, though not always at the same time. Hearing changes may progress if untreated, but early recognition allows timely medical intervention. Autoimmune inner ear disease may occur on its own or alongside other autoimmune conditions. Our clinicians' care focuses on identifying immune-driven activity and protecting inner ear function as early as possible.
OUR REVIEW
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EXCELLENT Based on 105 reviews Posted on shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!Posted on Monika HlavkovaTrustindex verifies that the original source of the review is Google. A really good experience with the whole clinic - quick and efficient booking process, coordination between various teams, and generally a smooth operation. The consultation with Dr Rudy was very informative - he takes the time to understand the issue and answer questions, the tests seem to be very comprehensive and he is clear on the path forward. Would definitely recommend.Posted on Hughie ClarkTrustindex verifies that the original source of the review is Google. I recommend Harley AVC for anyone struggling with dizziness/pppd who isn’t sure what their next steps should be
Pinpointing the Cause
Diagnosing Autoimmune Inner Ear Disease
When to Get Checked
Autoimmune inner ear disease can change rapidly, so recognising when symptoms warrant prompt review is essential to protecting hearing and balance.
You should get assessed if hearing worsens over days or weeks, affects both ears, fluctuates, or is accompanied by tinnitus, vertigo, ear fullness, neurological symptoms, facial weakness, visual changes, or if you have a known autoimmune disease, systemic symptoms, or poor response to initial treatment that continues, progresses, or causes functional difficulty with daily activities significantly.
How We Assess Autoimmune Inner Ear Disease
The experts at Harley AVM focus on understanding the pattern and pace of symptoms. We take time to study how hearing and balance have changed, whether symptoms fluctuate, and how they relate to immune history, systemic illness, medications, or previous responses to treatment. This detailed history is central to recognising immune-driven inner ear involvement and guiding next steps.
Examinations are tailored to the individual and may include pure-tone audiometry, speech audiometry, speech-in-noise testing, tympanometry, acoustic reflex threshold testing, eustachian tube function assessment, and otoacoustic emissions. All findings are reviewed with our senior audiovestibular clinician to ensure results are interpreted within the full clinical and immunological context.
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DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Autoimmune Inner Ear Disease
Every Autoimmune Inner Ear Disease case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.