[Acute vestibular deficit with initial deafness as the first manifestation of late onset multiple sclerosis]

Acute unilateral vestibulocochlear loss occurred in combination with multilocular neurological findings in a 57-year-old woman. The available neuro-otological literature was then reviewed concerning the incidence and frequency of vestibulocochlear symptoms and findings in multiple sclerosis, especially in elderly patients. Hearing loss and vertigo as either initial or late findings in patients with multiple sclerosis are very rare. However, since the true incidence is unclear, we now recommend an extended neuro-otological examination in every case of vestibulocochlear loss.