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Acute low-tone sensorineural hearing loss without vertigo

T Yamasoba1, S Kikuchi, M Sugasawa

  • 1Department of Otolaryngology, University of Tokyo, Japan.

Archives of Otolaryngology--Head & Neck Surgery
|May 1, 1994
PubMed
Summary

Acute low-tone sensorineural hearing loss without vertigo (ALHL) may stem from cochlear endolymphatic hydrops. While many ALHL cases resolve, some can progress to cochlear or classic Meniere's disease.

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Area of Science:

  • Otolaryngology
  • Audiology
  • Neurology

Background:

  • Acute low-tone sensorineural hearing loss without vertigo (ALHL) is a condition requiring further pathophysiological investigation.
  • Understanding its relationship with Meniere's disease is crucial for diagnosis and management.

Purpose of the Study:

  • To investigate the pathophysiological characteristics of ALHL.
  • To determine the correlation between ALHL and the development of Meniere's disease.

Main Methods:

  • Retrospective review of medical charts from 80 consecutive ALHL patients.
  • Analysis of audiological, neuro-otological tests, and long-term follow-up data (average 5 years).

Main Results:

  • 84% of patients experienced hearing improvement within 3 months.

Related Experiment Videos

  • Of those followed for over 3 years, 62% had no recurrence, 27% developed cochlear Meniere's disease, and 11% developed classic Meniere's disease.
  • Positive glycerol tests and abnormal summating potential/action potential ratios were noted in a significant proportion of patients.

    • Conclusions:

    • ALHL is potentially caused by endolymphatic hydrops localized to the cochlea.
    • ALHL does not invariably progress to cochlear or classic Meniere's disease.