A sudden bilateral hearing loss caused by inner ear hemorrhage
| Autor: | J. Lerat, K. Aubry, A. Meunier, P. Clavel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Chronic myelomonocytic leukemia Hemorrhage Hearing Loss Bilateral 03 medical and health sciences 0302 clinical medicine Vertigo otorhinolaryngologic diseases Humans Medicine Videonystagmography Inner ear Ear Diseases 030223 otorhinolaryngology Aged 80 and over Vestibular system Past medical history medicine.diagnostic_test biology business.industry Audiogram Hearing Loss Sudden medicine.disease biology.organism_classification Surgery medicine.anatomical_structure Otorhinolaryngology Chronic leukemia Ear Inner 030220 oncology & carcinogenesis sense organs business |
| Zdroj: | European Annals of Otorhinolaryngology, Head and Neck Diseases. 137:65-67 |
| ISSN: | 1879-7296 |
| Popis: | Introduction Labyrinthine hemorrhage is a rare cause of sudden deafness and generally concerns only on one side. Case summary An 84-year-old man with a past medical history of myelomonocytic chronic leukemia (CMML) suffered from sudden bilateral hearing loss associated with vertigo. The audiogram revealed a left cophosis and a right profound deafness. Videonystagmography showed a left vestibular deficit. The MRI showed a spontaneous strong T1 weighted signal in the left and right labyrinths, corresponding to a bilateral inner ear hemorrhage (IEH). Dizziness resolved rapidly following vestibular physiotherapy, in contrast to hearing which did not improve at all and let the patient isolated in his environment. The patient successfully underwent cochlear implantation so that he could communicate. Discussion Most IEHs are unilateral and due to anticoagulants treatments and hematological diseases. Only rare cases have described bilateral labyrinth hemorrhage. This is the first case reported of bilateral labyrinth hemorrhage due to CMML. |
| Databáze: | OpenAIRE |
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