Sudden sensorineural hearing loss as the only symptom of multiple sclerosis

Abstract

We present a 33-year-old male patient with sudden sensorineural hearing loss, the main and only symptom of the second attack, who had been diagnosed with multiple sclerosis (MS) 8 years ago. The patient came to our clinic with a sudden onset of hearing loss and tinnitus in his right ear 1 week ago. Four consecutive frequency sensorineural hearing losses were observed in the audiogram of the patient. Brain diffusion magnetic resonance imaging (MRI) has been reported to result in an increase in the number of plaques and a new plaque in the area of the left temporal lobe subcortical white matter compared to the plaques of many demyelinated, compared with MRI about 1 year ago. As in our patient, brain diffusion MRI, time and location of MS lesions, and evidence of dissemination can provide evidence for MS-related hearing loss in these patients. The auditory brainstem responses may also provide important supporting information in this case.