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Related Experiment Video

Updated: Jul 16, 2026

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
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Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study

Published on: August 15, 2025

Contralateral labyrinthine concussion in temporal bone fractures.

Tuncay Ulug1, S Arif Ulubil

  • 1Department of Otolaryngology, Istanbul University, Faculty of Medicine, Istanbul, Turkey. tuncayu@superonline.com

The Journal of Otolaryngology
|March 27, 2007
PubMed
Summary

Labyrinthine concussion, often following head injuries, can cause persistent sensorineural hearing loss. This case series highlights three patients with this condition, emphasizing the need for audiometric diagnosis.

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Area of Science:

  • Otolaryngology
  • Neurology
  • Trauma Surgery

Background:

  • Unilateral traumatic temporal bone fractures with facial paralysis can be associated with inner ear injuries.
  • Labyrinthine concussion is an inner ear dysfunction resulting from head trauma.

Observation:

  • Three male patients (ages 19, 30, 42) presented with unilateral temporal bone fractures, facial paralysis, and contralateral labyrinthine concussion.
  • Audiometry revealed characteristic sensorineural hearing loss, often with a 4000 Hz notch, in the ear opposite the fracture.

Findings:

  • Facial paralysis was surgically managed, while labyrinthine concussion was observed expectantly.
  • One-year follow-up confirmed persistent hearing loss in all three patients due to labyrinthine concussion.
  • Labyrinthine concussion, though not rare, is infrequently reported, with key symptoms including hearing loss, tinnitus, and dizziness.

Related Experiment Videos

Last Updated: Jul 16, 2026

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
11:29

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study

Published on: August 15, 2025

Implications:

  • Audiometric evaluation is crucial for diagnosing labyrinthine concussion, which presents with specific hearing loss patterns.
  • Persistent hearing deficits underscore the importance of recognizing and potentially managing labyrinthine concussion following head trauma.
  • This case series contributes to the limited literature on labyrinthine concussion, advocating for increased awareness among clinicians treating head injuries.