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Related Experiment Videos

Sudden deafness associated with bilateral Reissner's membrane ruptures.

R Gussen

    American Journal of Otolaryngology
    |January 1, 1983
    PubMed
    Summary

    This histologic study reports sudden deafness in a patient with vertebro-basilar arteriosclerosis. The study found healed cochlear membrane ruptures, suggesting vascular insufficiency may predispose to inner ear membrane rupture.

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    Area of Science:

    • Otolaryngology
    • Neurology
    • Pathology

    Background:

    • Sudden deafness is a complex condition often linked to inner ear pathologies.
    • Vertebro-basilar arteriosclerosis is a significant vascular condition affecting blood supply to the brainstem and cerebellum.

    Observation:

    • A case study detailing a patient experiencing sudden deafness in both ears over a three-year period.
    • The patient had a history of vertebro-basilar arteriosclerosis.
    • Histologic examination of temporal bones revealed healed ruptures in cochlear membranes.

    Findings:

    • Two healed ruptures were identified in the right cochlea, one in the hook portion and another near the promontory, the latter causing saccular distortion.
    • A healed rupture was also found in the left temporal bone, distal to labyrinthectomy obliteration.
    • These ruptures occurred in the context of vertebro-basilar artery disease.

    Implications:

    • While sudden deafness and vascular disease were considered separate, the findings suggest a potential link.
    • Chronic vascular insufficiency may increase susceptibility of inner ear membranes to rupture from pressure changes.
    • This case highlights the importance of considering vascular health in patients with recurrent inner ear issues.

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