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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KeAi Communications Co., Ltd.
2016
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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) |
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Otorhinolaryngology RF1-547 Surgery RD1-811 |
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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 |
work_keys_str_mv |
AT adamdgoodale isolatedcochlearneuritisfromvaricellareactivationmimickingavestibularschwannoma AT justinsgolub isolatedcochlearneuritisfromvaricellareactivationmimickingavestibularschwannoma AT rebeccascornelius isolatedcochlearneuritisfromvaricellareactivationmimickingavestibularschwannoma AT ravinsamy isolatedcochlearneuritisfromvaricellareactivationmimickingavestibularschwannoma |
_version_ |
1718391729807163392 |