Which condition may cause episodic vertigo along with hearing problems?

Meniere's disease is characterized by episodes of vertigo, hearing loss, tinnitus, and a sensation of fullness in the affected ear. The connection between vertigo and hearing problems in this condition is particularly significant, as Meniere's disease typically presents with fluctuating hearing loss that can worsen over time, often corresponding with vertiginous episodes.

The episodic nature of the vertigo in Meniere's disease arises from the accumulation of endolymphatic fluid within the inner ear, which disrupts the balance and auditory functions. Patients often report sudden bouts of severe dizziness that can last from several minutes to hours and may be accompanied by a decline in hearing capacity during or after these episodes.

In contrast, other conditions present different profiles. Otosclerosis may lead to conductive hearing loss but does not typically cause vertigo. Acoustic neuroma primarily affects hearing and balance, but it usually results in persistent symptoms rather than episodic vertigo, and tinnitus does not involve vertigo as a primary symptom. Thus, Meniere's disease is the condition that best fits the criteria of causing episodic vertigo along with hearing problems.