Primary presentation of sarcoidosis with profound bilateral sensorineural hearing loss
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Updated: Oct 23, 2025

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
Gargi Pandey1, Fiona McClenaghan2, Robert Nash2
1Ear, Nose and Throat Surgery Department, Great Ormond Street Hospital For Children NHS Trust, London, UK gargi.pandey@nhs.net.
Abstract:
We present a case of a 7-year-old Afro-Caribbean girl presenting with rapidly progressive bilateral sensorineural hearing loss. She was found to have an elevated Angiotensin converting enzyme (ACE) and mediastinal lymphadenopathy containing non-caseating granulomas with multinucleate giant cells, in keeping with sarcoidosis. Cranial imaging demonstrated labyrinthitis. She underwent urgent bilateral cochlear implantation with rehabilitation of hearing sufficient to restart education within 1 month.
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