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미로내 출혈로 인한 돌발성 난청 1예A Case of Sudden Sensorineural Hearing Loss due to Intralabyrinthine Hemorrhage
- Other Titles
- A Case of Sudden Sensorineural Hearing Loss due to Intralabyrinthine Hemorrhage
- Issue Date
- 2010
- Publisher
- 대한이비인후과학회
- Keywords
- Sudden hearing loss·Labyrinth·Hemorrhage·Magnetic resonance imaging.
- Citation
- 대한이비인후-두경부외과학회지, v.53, no.1, pp 37 - 40
- Pages
- 4
- Journal Title
- 대한이비인후-두경부외과학회지
- Volume
- 53
- Number
- 1
- Start Page
- 37
- End Page
- 40
- 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. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:37-40
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