Isolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma.
Publication/Presentation Date
9-1-2016
Abstract
We present a case of a patient with progressive unilateral sensorineural hearing loss and tinnitus with internal auditory canal enhancement on magnetic resonance imaging (MRI) secondary to isolated cochlear neuritis from varicella reactivation. MRI following antiviral treatment showed resolution of enhancement. Varicella reactivation is commonly seen in the form of Ramsay Hunt syndrome, which is known to produce abnormal MRI enhancement from facial and vestibulocochlear neuritis; however, its characteristic clinical signs aid the diagnosis. This case is unique in that the only manifestation of varicella infection was unilateral hearing loss. This case outlines the importance of maintaining a broad differential diagnosis in the evaluation of unilateral hearing loss as well as recognizing the limited specificity of MRI.
Volume
2
Issue
3
First Page
181
Last Page
184
ISSN
2095-8811
Published In/Presented At
Goodale, A. D., Golub, J. S., Cornelius, R. S., & Samy, R. N. (2016). Isolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma. World journal of otorhinolaryngology - head and neck surgery, 2(3), 181–184. https://doi.org/10.1016/j.wjorl.2016.10.001
Disciplines
Medicine and Health Sciences
PubMedID
29204564
Department(s)
Department of Surgery, Division of Otolaryngology
Document Type
Article