J Audiol Otol.  2015 Dec;19(3):178-181. 10.7874/jao.2015.19.3.178.

A Case of Sudden Deafness with Intralabyrinthine Hemorrhage Intralabyrinthine Hemorrhage and Sudden Deafness

Affiliations
  • 1Department of Otorhinolaryngology, Severance Hospital, Yonsei University, Seoul, Korea.
  • 2Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, Goyang, Korea. hsue0928@nhimc.or.kr
  • 3Department of Diagnostic Radiology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

Abstract

Sudden hearing deterioration may occur in our population, but it is difficult to explain the exact pathophysiology and the cause. Magnetic resonance imaging (MRI) in sudden sensorineural hearing loss (SSNHL) is usually useful to evaluate neural lesions such as acoustic schwannoma and hemorrhage in labyrinth. Recently some cases of SSNHL caused by intralabyrintine hemorrhage were reported by the advance of MRI. In the case of intralabyrintine hemorrhage, MRI showed a hyperintense signal in the labyrinth on the pre-contrast and contrast enhanced T1-weighted image and relatively weak intensity on T2-weighted image. The prognosis SSNHL by intralabyrintine hemorrhage is generally known to be poor. We report a case of sudden deafness with intralabyrintine hemorrhage who has a history of anticoagulant administration, with a review of literature.

Keyword

Hearing loss; Sudden; Labyrinth; Magnetic resonance imaging

MeSH Terms

Ear, Inner
Hearing
Hearing Loss
Hearing Loss, Sensorineural
Hearing Loss, Sudden*
Hemorrhage*
Magnetic Resonance Imaging
Neuroma, Acoustic
Prognosis
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