Frequency of Cochlear Enhancement on Magnetic Resonance Imaging in Patients With Autoimmune Sensorineural Hearing Loss

Zavod, Matthew B.; Sataloff, Robert T.; Rao, Vijay M.

doi:10.1001/archotol.126.8.969

Cited by 14 publications

(8 citation statements)

References 13 publications

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“…These were based on a few cases that demonstrate this alteration. 22 47 We believe the discrepancy between our findings and the literature could be justified with examination after the start of corticosteroids therapy and the methodology of accomplishment and different analysis. …”

Section: Discussioncontrasting

confidence: 60%

Sudden Sensorioneural Hearing Loss and Autoimmune Systemic Diseases

Rossini

Penido

Munhoz

et al. 2016

Int Arch Otorhinolaryngol

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Introduction Several authors have demonstrated the relationship between sudden sensorineural hearing loss (SNHL) and systemic autoimmune diseases (SAD). Immune-mediated SNHL can rarely present as unilateral sudden SNHL and manifests itself in the contralateral ear only after years. It presents clinical relevance for being one of the few SNHL that may be reversible given that early and appropriate treatment is applied. Objective The objective of this study is to describe the clinical presentations and audiological findings from patients with idiopathic sudden SNHL and SAD associated with a probable diagnosis of immune-mediated SNHL. Furthermore, we strive to estimate the prevalence of SAD in patients with sudden SNHL. Methods This is an observational retrospective cohort. We have selected and studied patients with SAD. Revision of available literature on scientific repositories. Results We evaluated 339 patients with sudden SNHL. Among them, 13 (3.83%) patients suffered from SAD. Three patients had bilateral involvement, a total of 16 ears. We evaluate and describe various clinical, epidemiological, and audiological aspects of this sample. Conclusion In our sample of patients with sudden SNHL, the prevalence of SAD was found relevant. The majority had tinnitus and dizziness concomitant hearing loss, unilateral involvement and had experienced profound hearing loss at the time of the installation. In spite of instituted treatment, most cases showed no improvement in audiometric thresholds. Apparently, patients with sudden SNHL and SAD have a more severe initial impairment, higher percentage of bilateral, lower response to treatment, and worse prognosis than patients with sudden SNHL of unknown etiology.

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Section: Discussioncontrasting

confidence: 60%

Sudden Sensorioneural Hearing Loss and Autoimmune Systemic Diseases

Rossini

Penido

Munhoz

et al. 2016

Int Arch Otorhinolaryngol

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“…They concluded that MRI was not helpful in diagnosing or managing autoimmune sensorineural hearing loss. 8 However, the clinical utility of high-resolution MRI studies of the inner ear has been well established for threedimensional, gradient-echo sequences, 9,10 two-dimensional sequences, 11 and three-dimensional, fast spin-echo sequences. 12 Compared with two-dimensional studies, three-dimensional studies are useful for assessing inner-ear involvement; 13 T2-weighted, fast spin-echo MRI is valuable for assessing the extent of inner-ear damage.…”

Section: Discussionmentioning

confidence: 99%

Inner-ear obliteration in ulcerative colitis patients with sensorineural hearing loss

et al. 2007

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To our knowledge, there has been no previous published report of the T2-weighted, inner-ear magnetic resonance imaging findings of cases of ulcerative colitis with sensorineural hearing loss. This paper represents the first published report in the world literature of inner-ear obliteration in such patients. Three-dimensional magnetic resonance imaging is beneficial in elucidating the pathophysiology of the inner-ear involvement seen in ulcerative colitis.

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“… 10 Interestingly, in a study of 35 patients with confirmed autoimmune sensorineural HL using the 68 kD protein, none of these patients with previously unoperated ears showed evidence of intralabyrinthine enhancement. 11 Labyrinthine enhancement is also rare in viral neuronitis associated with vertigo alone. 12 Our patient had the rare finding of intense labyrinthine enhancement associated with audiovestibular complaints with subjective, objective, and radiologic improvement after systemic antiinflammatory treatment (Fig.…”

Section: Discussionmentioning

confidence: 99%

The Value of Enhanced Magnetic Resonance Imaging in the Evaluation of Endocochlear Disease

et al. 2002

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Frequency of Cochlear Enhancement on Magnetic Resonance Imaging in Patients With Autoimmune Sensorineural Hearing Loss

Abstract: No correlation was found between the presence of antibodies to inner ear antigen in patients with hearing loss and cochlear enhancement on MRI scans.

Cited by 14 publications

References 13 publications

Sudden Sensorioneural Hearing Loss and Autoimmune Systemic Diseases

Sudden Sensorioneural Hearing Loss and Autoimmune Systemic Diseases

Inner-ear obliteration in ulcerative colitis patients with sensorineural hearing loss

The Value of Enhanced Magnetic Resonance Imaging in the Evaluation of Endocochlear Disease

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