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Correlation between right-to-left shunt and sudden sensorineural hearing loss: protocol for a case-control study.
Jianrong Zheng1,2, Ying Zhan1, Yajing Cheng1
1Department of Neurology, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.
BMJ Open
|November 9, 2023
Summary
Sudden sensorineural hearing loss (SSNHL) may be linked to right-to-left shunts (RLS). This study investigates the association between SSNHL and RLS in a case-control design to understand hearing loss causes.
Area of Science:
- Neurology
- Otolaryngology
- Cardiology
Background:
- Sudden sensorineural hearing loss (SSNHL) is a critical neurological and otolaryngological emergency.
- Clinical observations suggest a frequent co-occurrence of SSNHL and right-to-left shunts (RLS).
- The relationship between SSNHL and RLS requires further investigation through large-scale studies.
Purpose of the Study:
- To explore the potential correlation between right-to-left shunts (RLS) and sudden sensorineural hearing loss (SSNHL).
- To investigate the prevalence of RLS in patients diagnosed with SSNHL.
- To contribute to a better understanding of the underlying causes of SSNHL.
Main Methods:
- A prospective, observational case-control study design.
- 194 participants (97 SSNHL cases, 97 controls) matched for age and sex.
- Data collection includes medical history, laboratory tests, audiological assessments, and ultrasonography.
Main Results:
- The primary outcome is the difference in RLS rates between SSNHL patients and controls.
- Patent foramen ovale rates and other variables will be analyzed.
- Conditional logistic regression will assess the relationship between RLS and SSNHL.
Conclusions:
- This study aims to provide evidence for the association between RLS and SSNHL.
- Findings may enhance the etiological understanding of SSNHL.
- Results will be disseminated through peer-reviewed publications.
- Meta_A_description:
- Meta_Description: "Investigate the link between sudden sensorineural hearing loss (SSNHL) and right-to-left shunts (RLS) in a case-control study exploring hearing loss etiology."
- TL_DR
- Sudden sensorineural hearing loss (SSNHL) is a neurological emergency. This study investigates the potential link between SSNHL and right-to-left shunts (RLS) to better understand hearing loss causes.
- Enhanced_Abstract
- Area_of_Science
- Neurology, Otolaryngology, Cardiology
- Background
- Sudden sensorineural hearing loss (SSNHL) is a critical neurological and otolaryngological emergency.
- Clinical observations suggest a frequent co-occurrence of SSNHL and right-to-left shunts (RLS).
- The relationship between SSNHL and RLS requires further investigation through large-scale studies.
- Purpose_of_the_Study
- To explore the potential correlation between right-to-left shunts (RLS) and sudden sensorineural hearing loss (SSNHL).
- To investigate the prevalence of RLS in patients diagnosed with SSNHL.
- To contribute to a better understanding of the underlying causes of SSNHL.
- Main_Methods
- A prospective, observational case-control study design.
- 194 participants (97 SSNHL cases, 97 controls) matched for age and sex.
- Data collection includes medical history, laboratory tests, audiological assessments, and ultrasonography.
- Main_Results
- The primary outcome is the difference in RLS rates between SSNHL patients and controls.
- Patent foramen ovale rates and other variables will be analyzed.
- Conditional logistic regression will assess the relationship between RLS and SSNHL.
- Conclusions
- This study aims to provide evidence for the association between RLS and SSNHL.
- Findings may enhance the etiological understanding of SSNHL.
- Results will be disseminated through peer-reviewed publications.

