Sarcoidosis and Fluctuating Hearing Loss

Jahrsdoerfer, Robert A.; Johns, Michael M.; E, Thompson; Cantrell, Robert W.

doi:10.1177/000348948109000213

Cited by 23 publications

(4 citation statements)

References 7 publications

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“…In five further cases, the cause of the underlying cranial or peripheral neuropathy was felt to be associated with BVF, as such cases had been documented in the literature: vitamin B 12 deficiency [30], alcohol [45], hereditary sensory and autonomic neuropathy type IV (HSAN IV) [31,40], neurosarcoidosis [21] and beriberi [11,16]. In two of our cases, auditory brain stem evoked responses suggested brain stem or VIII nerve involvement.…”

Section: Neurological Diseasementioning

confidence: 53%

Bilateral loss of vestibular function: clinical findings in 53 patients

Rinne

Bronstein

Rudge

et al. 1998

Journal of Neurology

156

120

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The clinical presentations and aetiologies of a series of 53 cases of bilateral vestibular failure (BVF) seen by the authors over a decade were evaluated by retrospective review of the medical records. Thirty-nine per cent of patients had associated neurological disease; 13% had a progressive cerebellar syndrome with disabling gait ataxia, abnormal eye movements and cerebellar atrophy on neuro-imaging. BVF was usually unsuspected. Nine per cent had cranial or peripheral neuropathies and in this group there was no abnormality of brain stem/cerebellar oculomotor function, but hearing loss was common. Eleven per cent revealed BVF and hearing loss secondary to meningitis, and 6% had other neurological disorders. Idiopathic BVF was found in 21% of cases, characterised by paroxysmal vertigo and/or oscillopsia, but no abnormal clinical signs. Gentamicin ototoxicity accounted for a further 17%, while autoimmune disease was present in 9% of patients. Otological or neoplastic disease was diagnosed in the remaining 13% of patients. It was concluded that neurological, audiological and ocular motor assessments allow the probable cause of BVF to be defined in approximately 80% of cases. A group of BVF related to autoimmune pathologies is reported for the first time, indicating the need for immunological screening. Idiopathic BVF may present with only minor visual or vestibular symptoms, while in patients with cerebellar degeneration, BVF may be unsuspected and, thus, underdiagnosed.

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Section: Neurological Diseasementioning

confidence: 53%

Bilateral loss of vestibular function: clinical findings in 53 patients

Rinne

Bronstein

Rudge

et al. 1998

Journal of Neurology

156

120

View full text Add to dashboard Cite

show abstract

“…Thirty‐three references providing 48 suitable case reports were identified for the case report summary 3–35 . Inclusion of the two patients from the clinics resulted in a total of 50 cases.…”

Section: Resultsmentioning

confidence: 99%

Audiovestibular Manifestations of Sarcoidosis: A Review of the Literature

2006

The Laryngoscope

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“…Sarcoidosis is not generally recognized as a cause of sudden deafness (Hybels and Rice, 1976). Fluctuating hearing loss has been described by Engberg and Jepsen (1962) and by Jahrsdoerfer et al (1981). Impairment of hearing may be slight or severe.…”

Section: Discussionmentioning

confidence: 99%