We report a case of bilateral sudden sensorineural hearing loss (SSHL) in a patient suffering from chronic venous cerebrospinal insufficiency (CCSVI).
Methods:
Audiometric testing confirmed bilateral sensorineural hearing loss with hypoexcitability to caloric stimulation on the left side and echo-colour Doppler examination showed abnormal cerebral venous deficiency.
Results:
The patient's condition improved after 15 days following medical treatment.
Conclusions:
CCSVI may explain the anatomical background which provides a predisposing factor for SSHL although further studies are needed to verify whether this observation is casual or coincidental.
ZivadinovR, PoloniGU, MarrK. Decreased brain venous vasculature visibility on susceptibility-weighted imaging venography in patients with multiple sclerosis is related to chronic cerebrospinal venous insufficiency. BMC Neurol2011; 11: 128
2.
ZamboniP, ConsortiG, GaleottiR. Venous collateral circulation of the extracranial cerebrospinal outflow routes. Curr Neurovasc Res2009; 3: 204–12.
3.
ZamboniP, GaleottiR, MenegattiE. Chronic cerebrospinal venous insufficiency in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry2009; 80: 392–9.
4.
ZamboniP, MenegattiE, GaleottiR. The value of cerebral Doppler venous haemodynamics in the assessment of multiple sclerosis. J Neurol Sci2009; 282: 21–7.
5.
KoçA, SanisogluO. Sudden sensorineural hearing loss: literature survey on recent studies. J Otolaryngol2003; 32: 308–13.
6.
KuhnM, Heman-AckahSE, ShaikhJA, RoehmPC. Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis. Trends Amplif2011; 15: 31–105.
7.
StephanH, WappenschmidtJ, KieferH. Occlusion of the basilar artery. Neurosurg Rev1981; 4: 41–52.
SunoseH, ToshimaM, MitaniS. Sudden bilateral hearing loss and dizziness occurred with cerebellar infarction. Otolaryngol Head Neck Surg2000; 122: 146–7.
11.
ConlinAE, ParnesLS. Treatment of sudden sensorineural hearing loss: I. A systematic review. Arch Otolaryngol Head Neck Surg2007; 133: 573–81.
12.
RauchSD, HalpinCF, AntonelliPJ. Oral vs. intra-tympanic corticosteroid therapy for idiopathic sudden sensorineural hearing loss: a randomized trial. JAMA2011; 305: 2071–9.
13.
LeeH, WhitmanGT, LimJG. Bilateral sudden deafness as a prodrome of anterior inferior cerebellar artery infarction. Arch Neurol2001; 58: 1287–9.
14.
ToyodaK, HiranoT, KumaiY. Bilateral deafness as a prodromal symptom of basilar artery occlusion. J Neurol Sci2002; 193: 147–50.
15.
ButtnerU, OttM, HelmchenCH. Bilateral loss of eighth nerve function as the only clinical sign of vertebrobasilar dolichoectasia. J Vestib Res1995; 5: 47–51.
ShimHJ, SongDK, LeeSW. A case of unilateral sensorineural hearing loss caused by a venous malformation of the internal auditory canal. Int J Pediatr Otorhinolaryngol2007; 71: 1479–83.
19.
BalohRW. Dizziness, Hearing Loss, and Tinnitus.New York: Oxford, 1988: 89–105.
20.
SchuknechtHE. Pathology of The Ear.2nd edn.Philadelphia, PA: Lea and Febiger, 1993
21.
WatanabeY, NakashimaT, YanagitaN. Venous communications of the cochlea after acute occlusion of the vein of the cochlear aqueduct. Arch Otorhinolarygol1988; 245: 340–43.
22.
HarrisJP, FukudaS, KeithleyEM. Spiral modiolar vein: its importance in inner ear inflammation. Acta Otolaryngol1990; 110: 357–65.
23.
SonHJ, JohJH, KimWJ. Temporary bilateral sensorineural hearing loss following cardiopulmonary bypass - a case report. Korean J Anesthesiol2011; 61: 162–5.
