Bilateral sudden sensorineural hearing loss: Review

Sergio Sara, B. Teh, Peter Friedland

    Research output: Contribution to journalReview article

    32 Citations (Scopus)

    Abstract

    Introduction: Unilateral and bilateral sudden sensorineural hearing loss represent different disease entities. The unilateral condition is more common and predominantly idiopathic, and up to 65 per cent of patients spontaneously recover hearing. Conversely, the bilateral condition is rare, mostly associated with serious systemic conditions, and has a higher prevalence of morbidity and mortality. Methods: A literature search using the PubMed database was conducted using the MeSH terms 'sudden', 'bilateral' and 'sensorineural hearing loss'. Results: One hundred and three reported cases of bilateral sudden sensorineural hearing loss were identified. The condition is most often associated with toxic, autoimmune, neoplastic and vascular conditions. A younger age of onset, with a bimodal age distribution, was seen for bilateral sudden sensorineural hearing loss, compared with the unilateral condition. Patients with the bilateral condition had more profound hearing loss, with poorer recovery and a 35 per cent mortality rate. Vestibular symptoms were also less common than in the unilateral condition. Conclusion: The presentation of bilateral sudden onset sensorineural hearing loss is a medical emergency requiring thorough and urgent investigation to exclude life-threatening and reversible conditions. Copyright © JLO (1984) Limited 2013.
    Original languageEnglish
    Pages (from-to)S8-S15
    JournalJournal of Laryngology and Otology
    Volume128
    Issue numberSUPPL.S1
    DOIs
    Publication statusPublished - 2014

    Fingerprint

    Bilateral Hearing Loss
    Sudden Hearing Loss
    Sensorineural Hearing Loss
    Mortality
    Poisons
    Age Distribution
    Hearing Loss
    Age of Onset
    PubMed
    Hearing
    Blood Vessels
    Emergencies
    Databases
    Morbidity

    Cite this

    Sara, Sergio ; Teh, B. ; Friedland, Peter. / Bilateral sudden sensorineural hearing loss: Review. In: Journal of Laryngology and Otology. 2014 ; Vol. 128, No. SUPPL.S1. pp. S8-S15.
    @article{acb946b5c8ef46f494795e499a2d4633,
    title = "Bilateral sudden sensorineural hearing loss: Review",
    abstract = "Introduction: Unilateral and bilateral sudden sensorineural hearing loss represent different disease entities. The unilateral condition is more common and predominantly idiopathic, and up to 65 per cent of patients spontaneously recover hearing. Conversely, the bilateral condition is rare, mostly associated with serious systemic conditions, and has a higher prevalence of morbidity and mortality. Methods: A literature search using the PubMed database was conducted using the MeSH terms 'sudden', 'bilateral' and 'sensorineural hearing loss'. Results: One hundred and three reported cases of bilateral sudden sensorineural hearing loss were identified. The condition is most often associated with toxic, autoimmune, neoplastic and vascular conditions. A younger age of onset, with a bimodal age distribution, was seen for bilateral sudden sensorineural hearing loss, compared with the unilateral condition. Patients with the bilateral condition had more profound hearing loss, with poorer recovery and a 35 per cent mortality rate. Vestibular symptoms were also less common than in the unilateral condition. Conclusion: The presentation of bilateral sudden onset sensorineural hearing loss is a medical emergency requiring thorough and urgent investigation to exclude life-threatening and reversible conditions. Copyright {\circledC} JLO (1984) Limited 2013.",
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    Bilateral sudden sensorineural hearing loss: Review. / Sara, Sergio; Teh, B.; Friedland, Peter.

    In: Journal of Laryngology and Otology, Vol. 128, No. SUPPL.S1, 2014, p. S8-S15.

    Research output: Contribution to journalReview article

    TY - JOUR

    T1 - Bilateral sudden sensorineural hearing loss: Review

    AU - Sara, Sergio

    AU - Teh, B.

    AU - Friedland, Peter

    PY - 2014

    Y1 - 2014

    N2 - Introduction: Unilateral and bilateral sudden sensorineural hearing loss represent different disease entities. The unilateral condition is more common and predominantly idiopathic, and up to 65 per cent of patients spontaneously recover hearing. Conversely, the bilateral condition is rare, mostly associated with serious systemic conditions, and has a higher prevalence of morbidity and mortality. Methods: A literature search using the PubMed database was conducted using the MeSH terms 'sudden', 'bilateral' and 'sensorineural hearing loss'. Results: One hundred and three reported cases of bilateral sudden sensorineural hearing loss were identified. The condition is most often associated with toxic, autoimmune, neoplastic and vascular conditions. A younger age of onset, with a bimodal age distribution, was seen for bilateral sudden sensorineural hearing loss, compared with the unilateral condition. Patients with the bilateral condition had more profound hearing loss, with poorer recovery and a 35 per cent mortality rate. Vestibular symptoms were also less common than in the unilateral condition. Conclusion: The presentation of bilateral sudden onset sensorineural hearing loss is a medical emergency requiring thorough and urgent investigation to exclude life-threatening and reversible conditions. Copyright © JLO (1984) Limited 2013.

    AB - Introduction: Unilateral and bilateral sudden sensorineural hearing loss represent different disease entities. The unilateral condition is more common and predominantly idiopathic, and up to 65 per cent of patients spontaneously recover hearing. Conversely, the bilateral condition is rare, mostly associated with serious systemic conditions, and has a higher prevalence of morbidity and mortality. Methods: A literature search using the PubMed database was conducted using the MeSH terms 'sudden', 'bilateral' and 'sensorineural hearing loss'. Results: One hundred and three reported cases of bilateral sudden sensorineural hearing loss were identified. The condition is most often associated with toxic, autoimmune, neoplastic and vascular conditions. A younger age of onset, with a bimodal age distribution, was seen for bilateral sudden sensorineural hearing loss, compared with the unilateral condition. Patients with the bilateral condition had more profound hearing loss, with poorer recovery and a 35 per cent mortality rate. Vestibular symptoms were also less common than in the unilateral condition. Conclusion: The presentation of bilateral sudden onset sensorineural hearing loss is a medical emergency requiring thorough and urgent investigation to exclude life-threatening and reversible conditions. Copyright © JLO (1984) Limited 2013.

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    JF - The Journal of Laryngology & Otology

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