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What Causes Sudden Hearing Loss?

Posted on Sat, 13 Sep 2014

Question: I have 7 mm extra axial enhancing lesion with dural tail at left cerebellopontine angle suggesting a most likely meningioma just discovered after MRI taken due to sudden hearing loss in that ear. 2 ENT's say that they are not sure if the possible meningioma is a cause or just a condition of a sudden hearing loss which just occurred about weeks ago and was the reason for the MRI.. What should be some possible next steps?

Answered by Dr. Naveen Kumar Nanjasetty (4 hours later)

Brief Answer:
Meningioma in the CP angle could be the cause...

Detailed Answer:
Hi

Thanks for posting the query. I will try my best to help you out with this problem.

The presence of meningioma in the cerebello-pontine angle could be the cause of your sudden hearing loss. The meningioma could be compressing the cochlear nerve thus causing the hearing loss. You need to get further audiological investigations to confirm the sensori-neural hearing loss.

Secondly, not all ENT specialists will be competent enough to diagnose this problem. My sincere suggestion to you is to consult a good Neurosurgeon or a Neuro-otologist for a complete evaluation and management.

Also, you will require a course of oral steroids and a peripheral vasodilators to reduce any pressure or swelling around the cochlear nerve.

Hope I have answered the query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Naveen Kumar Nanjasetty (7 hours later)

Thank you. Your opinion is consistent with the 2 ENT's I have seen so far...They have me on prednisone 60 mg per day and acyclovar 5 per. Day, but neither has yet recommended peripheral vasodilators to reduce pressure or swelling around the cochlear nerve. I see an ENT subspecialist tomorrow who was recommended by both ENT's. He is Dr XXXXXXX Bartell in XXXXXXX I will keep you posted and greatly appreciate your opinions.
Sincerely XXXXXXX XXXXXXX

Answered by Dr. Naveen Kumar Nanjasetty (5 hours later)

Brief Answer:
Wish you good luck and good health...

Detailed Answer:
Hi

Thanks for writing back

I would look forward to know about your consultation in the sub specialist. I wish you good luck and good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T