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Sudden hearing loss in multiple sclerosis: case report

B A Stach1, G Delgado-Vilches

  • 1Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, Texas.

Journal of the American Academy of Audiology
|November 1, 1993
PubMed
Summary
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Sudden hearing loss in a multiple sclerosis (MS) patient resolved spontaneously. This case highlights a temporary brainstem auditory pathway dysfunction in MS.

Area of Science:

  • Neurology
  • Audiology
  • Neuroscience

Background:

  • Multiple sclerosis (MS) is a demyelinating disease affecting the central nervous system.
  • Auditory pathway dysfunction can occur in MS, but sudden hearing loss is less common.
  • Brainstem involvement is a known complication of MS exacerbations.

Observation:

  • A young woman with MS experienced sudden left-ear hearing loss, tinnitus, and aural fullness during an MS exacerbation.
  • Audiologic evaluation revealed high-frequency hearing loss, absent acoustic reflexes, and impaired speech understanding.
  • Auditory Brainstem Response (ABR) testing indicated a brainstem disorder.

Findings:

  • The patient's hearing sensitivity, tinnitus, and aural fullness resolved within two weeks.

Related Experiment Videos

  • Audiologic test results normalized, including acoustic reflexes and speech understanding.
  • Auditory Brainstem Response (ABR) showed partial recovery, consistent with the clinical improvement.

    • Implications:

    • This case suggests that sudden hearing loss can be a transient neurological symptom in MS.
    • It underscores the importance of considering brainstem auditory pathway involvement in MS.
    • Prompt audiological and neurological assessment is crucial for managing hearing changes in MS patients.