A patient presents with progressive hearing loss, tinnitus, and vertigo. Which condition best fits these findings?

• A. Ramsay Hunt syndrome
• B. Presbycusis
• C. Meniere's syndrome
• D. Vestibular neuronitis

Answer: (C)

Meniere's disease is marked by endolymphatic hydrops in the inner ear, which disrupts both hearing and balance. The key presentation is episodic vertigo combined with fluctuating, often progressive sensorineural hearing loss and tinnitus (sometimes with a sensation of fullness in the ear). This combination is classic and best fits the symptoms described.

Ramsay Hunt syndrome involves herpes zoster oticus with ear pain, vesicular rash, and usually facial nerve palsy, not the distinct pattern of progressive hearing loss with vertigo. Presbycusis is age-related and typically presents as gradual, symmetric hearing loss without vertigo. Vestibular neuronitis causes sudden vertigo with nausea and imbalance but normal hearing, so hearing loss and tinnitus aren’t part of that picture.