This study has investigated immune injuries to the inner ear auditory
system of guinea pigs. Following secondary antigen challenge to the en
dolymphatic sac, the mean hearing threshold significantly increased in
the early phase from day 1 to day 3 and thereafter recovered. In the
early phase, hearing threshold significantly increased simultaneously
to the elevation of perilymph antibody levels. The size of hydrops was
not the only factor that causes an increase in hearing loss as well a
s in AP/SP ratio. Scale-out hearing loss was seen in 2 animals with se
vere degeneration of the stria vascularis as well. as the organ of Cor
ti associated with the inflammatory cellular infiltration especially i
n the perilymphatic space, even in the absence of keyhole limpet hemoc
yanin antigen in the cochlea. On the other hand, control animals did n
ot suffer hearing loss. These results suggest that an immune reaction
in the endolymphatic sac is a possible pathogenic etiology of Meniere'
s disease or sudden deafness.