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Related Experiment Video

Updated: Jul 19, 2026

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
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Bilateral spontaneous hemotympanum: case report.

Dimitrios G Balatsouras1, Panayotis Dimitropoulos, Alexandros Fassolis

  • 1Department of Otolaryngology, Tzanion General Hospital, Piraeus, Greece. balats@panafonet.gr

Head & Face Medicine
|October 6, 2006
PubMed
Summary

Anticoagulant therapy can cause spontaneous bilateral hemotympanum, a condition characterized by blood in the middle ear. Prompt diagnosis and temporary cessation of anticoagulants can lead to full hearing recovery.

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Area of Science:

  • Otolaryngology
  • Hematology

Background:

  • Hemotympanum, often caused by trauma or blood disorders, can be idiopathic in cases of chronic otitis media.
  • Anticoagulant medications are commonly used for conditions like aortic valve replacement.

Observation:

  • A 72-year-old male on coumarinic anticoagulants presented with acute hearing loss.
  • Otoscopy revealed bilateral hemotympanum, confirmed by CT scan showing fluid in the middle ear and mastoid.
  • Audiometry indicated symmetrical, moderately severe mixed hearing loss, predominantly conductive.

Findings:

  • The patient experienced spontaneous bilateral hemotympanum.
  • Conservative treatment including antibiotics, anticongestants, and temporary interruption of anticoagulation was initiated.

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Last Updated: Jul 19, 2026

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
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Implications:

  • Anticoagulant use should be considered in the differential diagnosis of hemotympanum.
  • Early detection and management, including adjusting anticoagulant therapy, can resolve hemotympanum and restore hearing.