Isolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma

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...

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Autores principales: Adam D. Goodale, Justin S. Golub, Rebecca S. Cornelius, Ravi N. Samy
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2016
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Acceso en línea:https://doaj.org/article/5cbfbd433553412c9971bd192e7629eb
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spelling oai:doaj.org-article:5cbfbd433553412c9971bd192e7629eb2021-12-02T14:15:08ZIsolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma2095-881110.1016/j.wjorl.2016.10.001https://doaj.org/article/5cbfbd433553412c9971bd192e7629eb2016-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881116300762https://doaj.org/toc/2095-8811We 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. Keywords: Vestibular schwannoma, Acoustic neuroma, Vestibular neuritis, Ramsay Hunt syndrome, Varicella zoster virusAdam D. GoodaleJustin S. GolubRebecca S. CorneliusRavi N. SamyKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 2, Iss 3, Pp 181-184 (2016)
institution DOAJ
collection DOAJ
language EN
topic Otorhinolaryngology
RF1-547
Surgery
RD1-811
spellingShingle Otorhinolaryngology
RF1-547
Surgery
RD1-811
Adam D. Goodale
Justin S. Golub
Rebecca S. Cornelius
Ravi N. Samy
Isolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma
description 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. Keywords: Vestibular schwannoma, Acoustic neuroma, Vestibular neuritis, Ramsay Hunt syndrome, Varicella zoster virus
format article
author Adam D. Goodale
Justin S. Golub
Rebecca S. Cornelius
Ravi N. Samy
author_facet Adam D. Goodale
Justin S. Golub
Rebecca S. Cornelius
Ravi N. Samy
author_sort Adam D. Goodale
title Isolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma
title_short Isolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma
title_full Isolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma
title_fullStr Isolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma
title_full_unstemmed Isolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma
title_sort isolated cochlear neuritis from varicella reactivation mimicking a vestibular schwannoma
publisher KeAi Communications Co., Ltd.
publishDate 2016
url https://doaj.org/article/5cbfbd433553412c9971bd192e7629eb
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AT justinsgolub isolatedcochlearneuritisfromvaricellareactivationmimickingavestibularschwannoma
AT rebeccascornelius isolatedcochlearneuritisfromvaricellareactivationmimickingavestibularschwannoma
AT ravinsamy isolatedcochlearneuritisfromvaricellareactivationmimickingavestibularschwannoma
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