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Some causes of vertigo and hearing loss can be treated effectively with steroids. An example of this would be sudden hearing loss from inner ear nerve inflammation. Traditionally, oral steroids are used to treat this condition. When oral steroids are not effective or the patient does not tolerate them, or another medical condition does not allow a patient to use them, an alternative is a steroid perfusion. A very small quantity of steroid solution is placed in the middle ear through a small hold in the eardrum under local anesthesia in the office. This allows the steroid to be absorbed directly into the inner ear - sometimes with more effectiveness than steroid pills. There are some conditions such as vertigo from certain types of Meniere’s disease that also sometimes will respond to a steroid perfusion.