Korean J Otorhinolaryngol-Head Neck Surg.
2010 Jan;53(1):37-40. 10.3342/kjorl-hns.2010.53.1.37.
A Case of Sudden Sensorineural Hearing Loss due to Intralabyrinthine Hemorrhage
- Affiliations
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- 1Department of Otolaryngology, School of Medicine, Gyeongsang National University, Jinju, Korea. skahn@gnu.ac.kr
- 2Institute of Health Sciences, School of Medicine, Gyeongsang National University, Jinju, Korea.
- KMID: 2277125
- DOI: http://doi.org/10.3342/kjorl-hns.2010.53.1.37
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.
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