VERTIGO is a common cause of hearing loss and can occur from distrubance in fluid in the inner ear . It can also occur from physiological chnages or pressure in the Vestibular nerver (Balance nerve) or central to the brainstem and cerebellum. SNHL (Sensori neural hearing loss) results from changes of inner ear structure such as chochlea or the audiotry nerve . more than one out of three patients complaint about hearing loss.