A Case of Sudden Sensorineural Hearing Loss due to Intralabyrinthine Hemorrhage.
10.3342/kjorl-hns.2010.53.1.37
- Author:
Hong Kyoung LEE
1
;
Sea Yuong JEON
;
Dong Gu HUR
;
Seong Ki AHN
Author Information
1. Department of Otolaryngology, School of Medicine, Gyeongsang National University, Jinju, Korea. skahn@gnu.ac.kr
- Publication Type:Case Report
- Keywords:
Sudden hearing loss;
Labyrinth;
Hemorrhage;
Magnetic resonance imaging
- MeSH:
Brain;
Caloric Tests;
Dexamethasone;
Ear;
Ear, Inner;
Female;
Hearing;
Hearing Loss, Sensorineural;
Hearing Loss, Sudden;
Hemorrhage;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Prednisolone;
Vertigo
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2010;53(1):37-40
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sudden sensorineural hearing loss (SNHL) that is due to intralabyrinthine hemorrhage (ILH) is a rare condition. A 64-year-old female presented with vertigo and a sudden onset of SNHL in the left ear. The audiograms revealed a severe left-sided SNHL. The brain MRI showed a hyperintense signal in the labyrinth on the pre-contrast T1-weighted image. Caloric testing revealed a decreased caloric response of 63% in the left side compared to the right side. The patient was given a course of prednisolone followed by a course of intratympanic dexamethasone injection; this was followed by a course of vestibular rehabilitation therapy. Her hearing substantially recovered from severe to mild SNHL following a combination of oral and intratympanic steroid therapy. We report here on an unusual case of sudden SNHL due to ILH with a review of the related literatures.