Sensorineural hearing loss presumably due to inner ear hemorrhage.

  • Nagano Yuki
    Department of otorhinolaryngology-head and neck surgery, Miyazaki medical college, university of Miyazaki
  • Kawano Hirokazu
    Department of otorhinolaryngology-head and neck surgery, Miyazaki medical college, university of Miyazaki
  • Okuda Takumi
    Department of otorhinolaryngology-head and neck surgery, Miyazaki medical college, university of Miyazaki
  • Tono Tetsuya
    Department of otorhinolaryngology-head and neck surgery, Miyazaki medical college, university of Miyazaki

Bibliographic Information

Other Title
  • 急性感音難聴を呈し内耳出血が示唆された2症例

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Abstract

We report two cases of sudden sensorineural hearing loss, presumably due to inner ear hemorrhage. The first case was a 78-year-old man on anticoagulant therapy (ticlopidine hydrochloride), and the other was a 61-year-old woman with Helicobacter pylori-positive idiopathic thrombocytopenic purpura. In both cases, T1-weighted MR images showed a high signal intensity without gadolinium enhancement in the labyrinth, suggesting inner ear hemorrhage. Despite steroid therapy in the early stage after the onset, no hearing improvement was obtained in either case. MRI examination is essential to diagnose inner ear hemorrhage, and this imaging modality plays an important role in evaluating the pathologic conditions underlying sudden sensorineural hearing loss.

Journal

  • AUDIOLOGY JAPAN

    AUDIOLOGY JAPAN 51 (3), 214-220, 2008

    Japan Audiological Society

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