Abstract
We report a case of bilateral acoustic neurofibromatosis which presented with the atypical symptom of sudden sensorineural deafness. Following corticosteroid therapy the hearing loss returned to near normal levels. The pathogenesis of reversible sudden sensorineural hearing loss in the presence of an acoustic neuroma is discussed. The importance of Gadolinium-enhanced magnetic resonance imaging in the detection of bilateral acoustic neurofibromatosis is highlighted by the case report.
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Martuza, R. L., Eldridge, R. Neurofibromatosis 2 (bilateral acoustic neurofibromatosis N). Eng. J. Med. 1988; 318: 684.
Royleau, G. A., Wertelecki, W., Haines, J. L. Genetic linkage of bilateral acoustic neurofibromatosis to a DNA marker on chromosome 22. Nature 1987: 329: 246–248.
Linthicum, F. J. Jr. Unusual audiometric and histologic findings in bilateral acoustic neuromas. Annals Otol. Rhinol. Laryngol. 1972: 81: 433–437.
Linthicum, F. H., Khalessi, M. H., Churchill, D. In Acoustic tumours (House, W. F. and Leutze, C. M., eds.). 1979: vol. 1: 237. University Park Press, Baltimore.
Eckermeier, L., Pirsig, W., Mueller, D. Histopathology of 30 nonoperated acoustic schwannomas. Arch. Otolaryngology 1979: 222: 1–9.
Linthicum, F. H., Brackmann, D. E. Bilateral acoustic tumors. A diagnostic and surgical challenge. Arch. Otolaryngology 1980: 106: 729–733.
Higgs, M. L. Sudden deafness as the presenting symptom of acoustic neuroma. Arch. Otolaryngology 1973: 98: 73–6.
Pensak, M. L., Gasscock, M. E. III., Josey, A. F., Jackson, C. G., Gulya, A. J. Sudden hearing loss and cerebellopontine angle tumors. Laryngoscope 1985: 95: 1188–93.
Berg, H. M., Cohen, N. L., Hammerschlag, P. E., Waltzman, S. B. Acoustic neuroma presenting as sudden hearing loss with recovery. Otolaryngology Head and Neck surgery 1986: 94: 15–22.
Mattox, O. E., Simmons, F. B. Natural history of sudden sensorineural hearing loss. Annals Otol. Rhinol. Laryngol. 1977: 86: 463–80.
Noskowitz, D., Lee, K. J., Smith, H. W. Steroid use in idiopathic sudden sensorineural hearing loss. Laryngoscope 1984: 94: 664–6.
Nedzelski, J. M., Dufour, J. J. Acoustic neuroma presenting as sudden deafness. Journal of Otorhinolaryngology and Related Specialities 1975: 37: 271–9.
Cohen, N. L. Acoustic neuroma surgery with emphasis on preservation of hearing. Laryngoscope 1979: 89: 886–96.
Chow, J. M., Garcia, J. Acoustic neuroma presenting as sudden hearing loss. American Journal of Otolaryngoloy 1985: 6: 115–9.
Berenholz, L. P., Eriksen, C., Hirsh, F. A. Recovery from repeated sudden hearing loss with corticosteroid use in the presence of an acoustic neuroma. Annals Otol. Rhinol. Laryngol. 1992: 101: 827–831.
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Gaffney, R.J., McShane, D.P. Bilateral acoustic neurofibromatosis camouflaged by corticosteroid treatment of sudden sensorineural hearing loss. I.J.M.S. 165, 151–152 (1996). https://doi.org/10.1007/BF02940237
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DOI: https://doi.org/10.1007/BF02940237