Meniere’s syndrome is the most common cause of true vertigo that in 75-90% of the cases can be acceptably controlled by various methods of medical treatment. But in this case in spite of 13 years medical therapy, recurrent attacks of vertigo continue to occur and the patient completely become disable. During the last month, six severe vertigo attacks recorded by patients before surgery. So the patient was labeled as “intractable Meniere’s Disease” and accepted as good candidate for endolymphatic sac enhancement.

During 8 month after only 4 attacks of vertigo were recosded by the patient and recent audiogram show 20 dB raise in speech reception threshold and 12% improvement in speech discrimination score. Tinnitus is subjectively better and mild positional vertigo on rapid movements of head and mild sensation of imbalance in walking are only present complains of the patient. In this way, we can take patients back with meniere’s syndrome to near life by meticulous patient using this technique of surgery.