Multiple Sclerosis: A Cause of Sudden Hearing Loss

Özünlü, Adnan; Muş, Niyazi; Gülhan, Mehmet Fuat

doi:10.3109/00206099809072961

Cited by 20 publications

(8 citation statements)

References 29 publications

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“…This is consistent with Noffsinger et al [1], as well as research on the general population [3,[6][7], which suggests that most hearing losses are bilateral rather than unilateral. It does, however, contradict case-study reports of individuals with MS presenting sudden Sensorineural hearing loss [24][25][26][27][28][29][30][31][32][33][34][35][36]. In those reports, the loss was typically unilateral but returned to normal or previous HLs after a given period of time (sometime after the exacerbation in symptoms).…”

Section: Discussioncontrasting

confidence: 43%

Audiometric hearing status of individuals with and without multiple sclerosis

Lewis¹,

Lilly²,

Hutter³

et al. 2010

JRRD

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Abstract-The purpose of the present investigation was to determine whether differences exist in audiometric hearing status between individuals with and without multiple sclerosis (MS) and between individuals with relapsing-remitting MS (RRMS) and individuals with secondary progressive MS (SPMS). Forty-seven subjects with MS (26 with RRMS and 21 with SPMS) and forty-nine control subjects without MS completed both a comprehensive case-history questionnaire and a conventional hearing evaluation. Statistical analyses, accounting for the potential confounding factors of age, sex, noise exposure, and use of ototoxic medications, revealed significant differences in hearing thresholds between subjects with and without MS at select audiometric test frequencies (p < 0.05). At these audiometric test frequencies, the subjects with MS had poorer hearing thresholds. Additional analyses revealed significant differences in hearing sensitivity at select audiometric frequencies between the subjects with RRMS and the subjects with SPMS, such that those with SPMS had poorer hearing thresholds. These findings have significant clinical implications for practitioners working with patients with MS.

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Section: Discussioncontrasting

confidence: 43%

Audiometric hearing status of individuals with and without multiple sclerosis

Lewis¹,

Lilly²,

Hutter³

et al. 2010

JRRD

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show abstract

“…Hearing loss may occur when MS involves both the peripheral and the brainstem auditory pathways [123]; however, in some case, MS lesions involving the auditory pathways may not determine a clinically evident hearing impairment [124]. In rare cases, SSNHL may be the only presenting symptom of MS and may appear early in the course of the disease with good prognosis and little or no residual hearing deficit [125]. …”

Section: Inner Ear Involvement In Autoimmune Diseasesmentioning

confidence: 99%

Audiovestibular Symptoms in Systemic Autoimmune Diseases

Ralli

D’Aguanno

Stadio

et al. 2018

Journal of Immunology Research

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Immune-mediated inner ear disease can be primary, when the autoimmune response is against the inner ear, or secondary. The latter is characterized by the involvement of the ear in the presence of systemic autoimmune conditions. Sensorineural hearing loss is the most common audiovestibular symptom associated with systemic autoimmune diseases, although conductive hearing impairment may also be present. Hearing loss may present in a sudden, slowly, rapidly progressive or fluctuating form, and is mostly bilateral and asymmetric. Hearing loss shows a good response to corticosteroid therapy that may lead to near-complete hearing restoration. Vestibular symptoms, tinnitus, and aural fullness can be found in patients with systemic autoimmune diseases; they often mimic primary inner ear disorders such as Menière's disease and mainly affect both ears simultaneously. Awareness of inner ear involvement in systemic autoimmune diseases is essential for the good response shown to appropriate treatment. However, it is often misdiagnosed due to variable clinical presentation, limited knowledge, sparse evidence, and lack of specific diagnostic tests. The aim of this review is to analyse available evidence, often only reported in the form of case reports due to the rarity of some of these conditions, of the different clinical presentations of audiological and vestibular symptoms in systemic autoimmune diseases.

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“…The imaging demonstrated edema and hyperintense signal in the eight nerve within the auditory canal (8). Cases were reported whose Wave I was preserved while other waves were absent at the affected side (9,10). The presence of Wave I shows normal cochlear function and the absence of other waves reveals that the lesion is very close to the root of the eight cranial nerve (9).…”

Section: (A) (B)mentioning

confidence: 97%

“…Cases were reported whose Wave I was preserved while other waves were absent at the affected side (9,10). The presence of Wave I shows normal cochlear function and the absence of other waves reveals that the lesion is very close to the root of the eight cranial nerve (9). The lesions in the brainstem which cause hearing loss are usually detected by the MRI (5,11).…”

Section: (A) (B)mentioning

confidence: 99%