ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

MRI Useful for Identification of Sudden Sensorineural Hearing Loss Etiology

by Sue Pondrom • May 2, 2010

  • Tweet
  • Email
Print-Friendly Version

What is the evidence for different etiologies of sudden sensorineural hearing loss (SSNHL)?

You Might Also Like

  • MRI, CT Beneficial for Pediatric Sensorineural Hearing Loss
  • MRI, CT Imaging Beneficial for Pediatric Sensorineural Hearing Loss
  • IT Steroid Treatment, Oral Corticosteroid Therapy Similar for Sudden Sensorineural Hearing Loss
  • Abnormal MRI in Asymmetric Sensorineural Hearing Loss
Explore This Issue
May 2010

Background: The incidence of SSNHL has been estimated from five to 20 per 100,000 persons per year, but the causes are speculative and probably multifactorial. While identifying the most commonly reported etiologies of SSNHL, the ultimate goal of this study was to develop an evidence-based approach to patient evaluation.

Study Design: Literature and database review

Setting: Researchers from Alberta and British Columbia reviewed databases and 144 research papers.

Synopsis: The review included MEDLINE from 1950-October 2009, EMBASE from 1980-October 2009 and evidence-based medicine (EBM) databases, in addition to a manual reference search of identified papers. Multiple SSNHL patient etiologies were identified, including viral infection, vascular impairment, autoimmune disease, inner ear pathology and central nervous system anomalies.

A second group of papers evaluated patients with specific diagnostic tests, including autoimmune markers, hemostatic parameters and diagnostic imaging. The suspected etiologies were 71 percent idiopathic, 12.8 percent infectious disease, 4.7 percent otologic disease, 4.2 percent trauma, 2.8 percent vascular or hematologic, 2.3 percent neoplastic and 2.2 percent other.

The authors said their review did not identify a specific laboratory test or marker for sudden hearing loss, but they recommended an MRI for diagnostic evaluation. Additionally, the team recommended a directed clinical history and physical examination to identify causes, in addition to routine laboratory screening and screening for certain infectious agents. Study limitations included the lack of a standard SSNHL definition, and the authors said they were unable to pursue negative or unpublished data by the authors of included and excluded studies.

Bottom Line: Establishment of a direct causal link between sudden sensorineural hearing loss and its etiologies remains elusive, with idiopathic the most commonly identified. Diagnostic imaging is a useful method for identification of temporal bone or intracranial pathology that can present with SSNHL as a primary symptom.

Citation: Chau JK, Lin JRJ, Atashband S, et al. Systematic review of the evidence for etiology of adult sudden sensorineural hearing loss. Laryngoscope. 2010;120(5):1011-1021.

—Reviewed by Sue Pondrom

Filed Under: Literature Reviews, Otology/Neurotology Tagged With: clinical, MRI, Otology, SSNHL, sudden sensorineural hearing lossIssue: May 2010

You Might Also Like:

  • MRI, CT Beneficial for Pediatric Sensorineural Hearing Loss
  • MRI, CT Imaging Beneficial for Pediatric Sensorineural Hearing Loss
  • IT Steroid Treatment, Oral Corticosteroid Therapy Similar for Sudden Sensorineural Hearing Loss
  • Abnormal MRI in Asymmetric Sensorineural Hearing Loss

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Otolaryngologists Have a Major Role to Play in Treating COVID-19 Long-Haulers
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.