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
Trusted by Patients,
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EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google 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 Google 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 Google 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.
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.

Major Insurance Providers Accepted
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.