Sudden sensorineural hearing loss

Sudden sensorineural hearing loss

Defined as >30 /uni00A0 dB sensorineural hearing loss at three frequen - - cies within 3 days. History and examination should focus on a cause, which may be infective, neoplastic, traumatic, ototoxic, neurological or autoimmune. Investigations such as MRI are important (1% of acoustic neuromas present as sudden sensorineural hearing loss) but screening blood tests are of low yield where there is nothing in the history to suggest a cause. The majority are idiopathic and the recommended treatment is oral steroids with/without intratympanic steroids with salvage intratympanic steroids for those who do not recover after 2 /uni00A0 weeks. Sudden sensorineural hearing loss

Defined as >30 /uni00A0 dB sensorineural hearing loss at three frequen - - cies within 3 days. History and examination should focus on a cause, which may be infective, neoplastic, traumatic, ototoxic, neurological or autoimmune. Investigations such as MRI are important (1% of acoustic neuromas present as sudden sensorineural hearing loss) but screening blood tests are of low yield where there is nothing in the history to suggest a cause. The majority are idiopathic and the recommended treatment is oral steroids with/without intratympanic steroids with salvage intratympanic steroids for those who do not recover after 2 /uni00A0 weeks.