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    Subjects/ENT/Audiogram — Meniere Low-Frequency SNHL
    Audiogram — Meniere Low-Frequency SNHL
    hard
    ear ENT

    A 48-year-old woman presents with episodic rotational vertigo lasting 2–3 hours, unilateral ear fullness, and low-pitched roaring tinnitus in the left ear. Audiometry shows the pattern marked **B** in the diagram. Which of the following pathophysiologic mechanisms best explains the early involvement of this frequency range in her condition?

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