Sudden sensorineural hearing loss steroids

Treatment with oral steroids is usually between 7–14 days, and tapering is not required with shorter courses. Studies have not shown a conclusive benefit, 2,12 however, oral steroids have been recommended in recent guidelines as the standard treatment for idiopathic The guidelines suggest the use of intratympanic steroid injections should this initial therapy fail, as it may offer some hope as a salvage treatment if the response to systemic steroids is poor. 13 Patients who do not respond to oral steroids should be referred early for consideration of intratympanic steroids. There may be a role for hyperbaric oxygen therapy, but the clinical significance of this remains to be seen. 14 There is no evidence for the use of other therapies, such as carbogen, vasodilators or thrombolytics. 15,16

Clinically, the success rate of Intratympanic steroid therapy in patients with SHL is variable in the literature and the available studies are limited to retrospective and non-controlled prospective ones. In those studies steroids were used in various concentrations, regimens and delivery methods and their effectiveness have not been established due to the lack of randomized controlled trials. There have been some studies in the literature that discussed the effectiveness of Intratympanic steroid therapy as a salvage mode of therapy in patients who failed to respond to oral steroids (Herr & Marzo 2005, Slattery et al 2005).

Sudden hearing loss - or sudden sensorineural hearing loss - is defined as a loss greater than 30dB in three contiguous frequencies, occurring over a period of less than three days.

Sudden sensorineural hearing loss  (SSNHL) may be noticed upon awakening in the morning or develop rapidly over hours or days. You may hear a ”?pop' in the ear prior to the hearing loss.

70% of Sudden sensorineural hearing loss  patients also suffer from tinnitus. Vertigo is present in 50% of the Sudden sensorineural hearing loss  cases.

Sudden sensorineural hearing loss (SSNHL) has several etiologies. It may be a presenting symptom of vestibular schwannoma (VS). This study aimed to establish the incidence of VS in patients with SSNHL, and we report several unusual cases among these patients. We reviewed retrospectively the charts and magnetic resonance imaging (MRI) findings of all adult patients who presented with SSNHL between 2002 and 2008. We utilized three-dimensional fast imaging with steady-state acquisition temporal MRI as a screening method. Of the 295 patients with SSNHL, VS was found in 12 (4%). All patients had intrameatal or small to medium-sized tumors. There were three cases with SSNHL in one ear and an incidental finding of intracanalicular VS in the contralateral ear. There were four cases of VS that showed good recovery from SSNHL with corticosteroid treatment. There were two cases that mimicked labyrinthitis with hearing loss and vertigo. A greater number of cases than expected of VS were detected in patients with SSNHL, as a result of increasing widespread use of MRI. Various unusual findings in these patients were identified. MRI would seem to be mandatory in all cases of SSNHL.

Diagnosis Index entries containing back-references to :

  • Deafness (acquired) (complete) (hereditary) (partial) - ICD-10-CM Diagnosis Code - Unspecified hearing loss
      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Deafness NOS
    • High frequency deafness
    • Low frequency deafness
    • sensorineural ICD-10-CM Diagnosis Code Unspecified sensorineural hearing loss
        2016 2017 2018 Billable/Specific Code
      Applicable To
      • Central hearing loss NOS
      • Congenital deafness NOS
      • Neural hearing loss NOS
      • Perceptive hearing loss NOS
      • Sensorineural deafness NOS
      • Sensory hearing loss NOS
      Type 1 Excludes
      • abnormal auditory perception ( - )
      • psychogenic deafness ( )
      • bilateral
  • Loss (of)
    • hearing - see also Deafness
      • sensorineural NOS ICD-10-CM Diagnosis Code Unspecified sensorineural hearing loss
          2016 2017 2018 Billable/Specific Code
        Applicable To
        • Central hearing loss NOS
        • Congenital deafness NOS
        • Neural hearing loss NOS
        • Perceptive hearing loss NOS
        • Sensorineural deafness NOS
        • Sensory hearing loss NOS
        Type 1 Excludes
        • abnormal auditory perception ( - )
        • psychogenic deafness ( )
        • bilateral

Sudden sensorineural hearing loss steroids

sudden sensorineural hearing loss steroids

Sudden sensorineural hearing loss (SSNHL) has several etiologies. It may be a presenting symptom of vestibular schwannoma (VS). This study aimed to establish the incidence of VS in patients with SSNHL, and we report several unusual cases among these patients. We reviewed retrospectively the charts and magnetic resonance imaging (MRI) findings of all adult patients who presented with SSNHL between 2002 and 2008. We utilized three-dimensional fast imaging with steady-state acquisition temporal MRI as a screening method. Of the 295 patients with SSNHL, VS was found in 12 (4%). All patients had intrameatal or small to medium-sized tumors. There were three cases with SSNHL in one ear and an incidental finding of intracanalicular VS in the contralateral ear. There were four cases of VS that showed good recovery from SSNHL with corticosteroid treatment. There were two cases that mimicked labyrinthitis with hearing loss and vertigo. A greater number of cases than expected of VS were detected in patients with SSNHL, as a result of increasing widespread use of MRI. Various unusual findings in these patients were identified. MRI would seem to be mandatory in all cases of SSNHL.

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