Bilateral Sudden Sensorineural Hearing Loss and Intralabyrinthine Hemorrhage in a Patient With COVID-19.
Otol Neurotol
; 42(1): e10-e14, 2021 01.
Article
in English
| MEDLINE | ID: covidwho-966021
ABSTRACT
OBJECTIVE:
To describe a case of bilateral sudden sensorineural hearing loss (SSNHL) and intralabyrinthine hemorrhage in a patient with COVID-19. STUDYDESIGN:
Clinical capsule report.SETTING:
Tertiary academic referral center. PATIENT An adult woman with bilateral SSNHL, aural fullness, and vertigo with documented SARS-CoV-2 infection (IgG serology testing).INTERVENTIONS:
High-dose oral prednisone with taper, intratympanic dexamethasone. MAIN OUTCOMEMEASURES:
Audiometric testing, MRI of the internal auditory canal with and without contrast.RESULTS:
A patient presented with bilateral SSNHL, bilateral aural fullness, and vertigo. Serology testing performed several weeks after onset of symptoms was positive for IgG COVID-19 antibodies. MRI showed bilateral intralabyrinthine hemorrhage (left worse than right) and no tumor. The patient was treated with two courses of high-dose oral prednisone with taper and a left intratympanic dexamethasone injection, resulting in near-resolution of vestibular symptoms, a fluctuating sensorineural hearing loss in the right ear, and a severe to profound mixed hearing loss in the left ear.CONCLUSIONS:
COVID-19 may have otologic manifestations including sudden SSNHL, aural fullness, vertigo, and intralabyrinthine hemorrhage.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
/
Hearing Loss, Sensorineural
/
Hemorrhage
/
Labyrinth Diseases
Type of study:
Case report
/
Prognostic study
Topics:
Long Covid
Limits:
Adolescent
/
Female
/
Humans
Language:
English
Journal:
Otol Neurotol
Journal subject:
Neurology
/
Otolaryngology
Year:
2021
Document Type:
Article
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