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Rare Causes of Unilateral Sensorineural Hearing Loss in Adults: Our Experience

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Bilateral hearing loss is attributed to almost 50% of times with genetic etiology, while most unilateral sensorineural hearing loss (USNHL) are not attributable to it. Limited literature is available on epidemiology of USNHL. Etiology of USNHL is very diverse and vast, it ranges from as common as Meniere’s disease to as rare as an electric shock injury. A prospective study was carried out to find rare causes of USNHL in adults. In this manuscript, we present a case series of 7 rare etiologies of USNHL in adults like auditory neuropathy, chemoradiotherapy, dialysis-induced SNHL, common cavity inner ear malformation, multiple sclerosis, acute otitis media-induced SNHL and vertebrobasilar dolichoectasia. This study discusses the rare possible etiologies of USNHL that can be easily missed if these are not ruled out properly. We present these cases to consider these heterogeneous and distinct causes of USNHL because of rarity of these etiologies. If such an etiology is diagnosed in time, they may be managed effectively.

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References

  1. Bansal D, Varshney S, Malhotra M, Joshi P, Kumar N (2016) Unilateral sensorineural hearing loss: a retrospective study. Indian J Otol 22:262–267

    Article  Google Scholar 

  2. Usami S, Kitoh R, Moteki H, Nishio S, Kitano T, Kobayashi M et al (2017) Etiology of single-sided deafness and asymmetrical hearing loss. Acta Otolaryngol (Stockh) 137(sup565):S2–S7

    Article  CAS  Google Scholar 

  3. Deafness and hearing loss (2019) Available from: www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-los. Accessed 2 Mar 2020

  4. Taha MAM, Ahmed SAO, Abdulrahim MA (2017) Associated factors of unilateral sensorineural hearing loss among sudanese patients. SM Otolaryngol 1(2):1006

    Google Scholar 

  5. Jamwal P, Kishore K, Sharma M, Goel M (2017) Pattern of sensorineural hearing loss in patients attending ENT OPD. JK Sci 19(1):33–37

    Google Scholar 

  6. Kang S-M, Lim HW, Yu H (2018) Idiopathic sudden sensorineural hearing loss in dialysis patients. Ren Fail 40(1):170–174

    Article  Google Scholar 

  7. Petsuksiri J, Sermsree A, Thephamongkhol K, Keskool P, Thongyai K, Chansilpa Y et al (2011) Sensorineural hearing loss after concurrent chemoradiotherapy in nasopharyngeal cancer patients. Radiat Oncol Lond Engl 6:19–19

    Article  Google Scholar 

  8. Park P, Toung JS, Smythe P, Telian SA, La Marca F (2006) Unilateral sensorineural hearing loss after spine surgery: case report and review of the literature. Surg Neurol 66(4):415–419

    Article  Google Scholar 

  9. Murad NJ, Patel C, Turner CR (2008) Unilateral sensorineural hearing loss after general anaesthesia. Anaesthesia 63(5):559–559

    Article  CAS  Google Scholar 

  10. Karmody CS, Valdez TA, Desai U, Blevins NH (2009) Sensorineural hearing loss in patients with inflammatory bowel disease. Am J Otolaryngol 30(3):166–170

    Article  Google Scholar 

  11. Braun EM, Stanzenberger H, Nemetz U, Luxenberger W, Lackner A, Bachna-Rotter S et al (2013) Sudden unilateral hearing loss as first sign of cerebral sinus venous thrombosis? A 3-year retrospective analysis. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc Eur Acad Otol Neurotol 34(4):657–661

    Article  Google Scholar 

  12. Wieczorek SS, Anderson ME, Harris DA, Mikulec AA (2013) Enlarged vestibular aqueduct syndrome mimicking otosclerosis in adults. Am J Otolaryngol 34(6):619–625

    Article  Google Scholar 

  13. Ozkiris M (2014) Unilateral sensorineural hearing loss and facial nerve paralysis associated with low-voltage electrical shock. Ear Nose Throat J 93(2):62–66

    Article  Google Scholar 

  14. Ciorba A, Corazzi V, Cerritelli L, Bianchini C, Scanelli G, Aimoni C (2017) Patent foramen ovale as possible cause of sudden sensorineural hearing loss: a case report. Med Princ Pract Int J Kuwait Univ Health Sci Cent 26(5):491–494

    Google Scholar 

  15. Noureldine MHA, Kikano R, Riachi N, Ahdab R (2017) Hyperacoustic hypoacusis: a new pontine syndrome-Case report. Brain Inj 31(10):1396–1397

    Article  Google Scholar 

  16. Kuan C-C, Kaga K, Tsuzuku T (2007) Tuberculous meningitis-induced unilateral sensorineural hearing loss: a temporal bone study. Acta Otolaryngol 127(5):553–557

    Article  Google Scholar 

  17. Morgan PF, Volsky PG, Strasnick B (2016) Sympathetic hearing loss: A review of current understanding and report of 2 cases. Ear Nose Throat J 95(4–5):166–192

    PubMed  Google Scholar 

  18. Kariya S, Fukushima K, Kataoka Y, Tominaga S, Nishizaki K (2008) Inner-ear obliteration in ulcerative colitis patients with sensorineural hearing loss. J Laryngol Otol. 122(8):871–874

    Article  CAS  Google Scholar 

  19. Okhovat S, Fox R, Magill J, Narula A (2015) Sudden onset unilateral sensorineural hearing loss after rabies vaccination. BMJ Case Rep 15:2015

    Google Scholar 

  20. Masuda S, Usui S (2019) Comparison of the prevalence and features of inner ear malformations in congenital unilateral and bilateral hearing loss. Int J Pediatr Otorhinolaryngol 125:92–97

    Article  Google Scholar 

  21. Michel G, Espitalier F, Delemazure A-S, Bordure P (2016) Isolated lateral semicircular canal aplasia: Functional consequences. Eur Ann Otorhinolaryngol Head Neck Dis 133(3):199–201

    Article  CAS  Google Scholar 

  22. Sennaroğlu L, Bajin MD (2017) Classification and Current Management of Inner Ear Malformations. Balkan Med J 34:397–411

    Article  Google Scholar 

  23. Muzzi E, Gregori M, Orzan E (2019) Inner Ear Malformations and Unilateral Sensorineural Hearing Loss— the Elephant in the Room. JAMA Otolaryngol Head Neck Surg 145(9):874–875

    Article  Google Scholar 

  24. Greco A, Stabile MR, Bernitsas E (2018) Sudden hearing loss as an early detector of multiple sclerosis: a systematic review. Eur Rev Med Pharmacol Sci 22:4611–4624

    PubMed  Google Scholar 

  25. Ralli M, Stadio AD, Visconti IC, Russo FY, Orlando MP, Balla MP et al (2018) Otolaryngologic symptoms in multiple sclerosis: a review. Int Tinnitus J 22(2):160–169

    Google Scholar 

  26. Atula S, Sinkkonen S, Saat R, Sairanen T, Atula T (2016) Association of multiple sclerosis and sudden sensorineural hearing loss. Mult Scler J - Exp Transl Clin 2:205521731665215

    Google Scholar 

  27. Tekin M (2014) Sudden sensorineural hearing loss in a multiple sclerosis case. North Clin Istanb 1(2):109

    PubMed  PubMed Central  Google Scholar 

  28. Daugherty WT, Lederman RJ, Nodar RH (1983) Hearing Loss in Multiple Sclerosis. Arch Neurol 40:33–35

    Article  CAS  Google Scholar 

  29. Curé JK, Cromwell LD, Case JL, Johnson GD, Musiek FE (1990) Auditory dysfunction caused by multiple sclerosis: detection with MR imaging. AJNR Am J Neuroradiol 11(4):817–820

    PubMed  Google Scholar 

  30. Peyvandi A, Roozbahany NA (2013) Hearing loss in chronic renal failure patient undergoing hemodialysis. Indian J Otolaryngol Head Neck Surg Off Publ Assoc Otolaryngol India 65(Suppl 3):537–540

    Article  Google Scholar 

  31. Zhang Q-J, Lan L, Shi W, Wang D-Y, Qi Y, Zong L et al (2012) Unilateral auditory neuropathy spectrum disorder. Acta Otolaryngol (Stockh) 132(1):72–79

    Article  Google Scholar 

  32. Song JE, Sapthavee A, Cager GR, Saadia-Redleaf MI (2012) Pseudo-sudden deafness. Ann Otol Rhinol Laryngol 121(2):96–99

    Article  Google Scholar 

  33. Smith A, Gutteridge I, Elliott D, Cronin M (2017) Acute otitis media associated bilateral sudden hearing loss: case report and literature review. J Laryngol Otol 131(S2):S57–61

    Article  CAS  Google Scholar 

  34. Gilbow RC, Ruhl DS, Hashisaki GT (2018) Unilateral sensorineural hearing loss associated with vertebrobasilar dolichoectasia. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc Eur Acad Otol Neurotol 39(1):e56–e57

    Article  Google Scholar 

  35. Murphy TP (1991) Macrovascular sensorineural hearing loss. Am J Otol 12(2):88–92

    CAS  PubMed  Google Scholar 

  36. Shim HJ, Song DK, Lee SW, Lee DY, Park JH, Shin JH et al (2007) A case of unilateral sensorineural hearing loss caused by a venous malformation of the internal auditory canal. Int J Pediatr Otorhinolaryngol 71(9):1479–1483

    Article  Google Scholar 

  37. Liu C-H, Lin S-K, Chang Y-J (2001) Cochlear vertebral entrapment syndrome: a case report. Eur J Radiol 40:147–150

    Article  CAS  Google Scholar 

  38. Yılmaz DM, Kişi ÖN, Erman T, İldan F (2017) Unilateral sensorineural hearing loss associated with dolicoectasia of vertebral artery. Cukurova Med J Çukurova Üniversitesi Tıp Fakültesi Derg 42(3):589–591

    Article  Google Scholar 

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Acknowledgements

The study has not received funding from any organization or institution and does not involve any potential conflict of interest (financial and non-financial). Procedures performed in the study was in accordance with the ethical standards of the institution and with the 1964 Helsinki declaration and its later amendments.

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Authors and Affiliations

  1. Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, 249203, India

    Amit Kumar Tyagi, Kartikesh Gupta, Amit Kumar, Saurabh Varshney, Rachit Sood, Manu Malhotra, Madhu Priya & Abhishek Bhardwaj

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  1. Amit Kumar Tyagi
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  2. Kartikesh Gupta
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  3. Amit Kumar
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  4. Saurabh Varshney
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Correspondence to Saurabh Varshney.

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Tyagi, A.K., Gupta, K., Kumar, A. et al. Rare Causes of Unilateral Sensorineural Hearing Loss in Adults: Our Experience. Indian J Otolaryngol Head Neck Surg 72, 428–436 (2020). https://doi.org/10.1007/s12070-020-01837-6

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  • DOI: https://doi.org/10.1007/s12070-020-01837-6

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