Contralateral Cochlear Labyrinthine Concussion without Temporal Bone Fracture: Unusual Posttraumatic Consequence

Introduction. Labyrinthine concussion is a term used to describe a rare cause of sensorineural hearing loss with or without vestibular symptoms occurring after head trauma. Isolated damage to the inner ear without involving the vestibular organ would be designated as a cochlear labyrinthine concussi...

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Main Authors: I. M. Villarreal, D. Méndez, J. M. Duque Silva, P. Ortega del Álamo
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2016/2123182
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author I. M. Villarreal
D. Méndez
J. M. Duque Silva
P. Ortega del Álamo
author_facet I. M. Villarreal
D. Méndez
J. M. Duque Silva
P. Ortega del Álamo
author_sort I. M. Villarreal
collection DOAJ
description Introduction. Labyrinthine concussion is a term used to describe a rare cause of sensorineural hearing loss with or without vestibular symptoms occurring after head trauma. Isolated damage to the inner ear without involving the vestibular organ would be designated as a cochlear labyrinthine concussion. Hearing loss is not a rare finding in head trauma that involves petrous bone fractures. Nevertheless it generally occurs ipsilateral to the side of the head injury and extraordinarily in the contralateral side and moreover without the presence of a fracture. Case Report. The present case describes a 37-year-old patient with sensorineural hearing loss and tinnitus in his right ear after a blunt head trauma of the left-sided temporal bone (contralateral). Otoscopy and radiological images showed no fractures or any abnormalities. A severe sensorineural hearing loss was found in his right ear with a normal hearing of the left side. Conclusion. The temporal bone trauma requires a complete diagnostic battery which includes a neurotologic examination and a high resolution computed tomography scan in the first place. Hearing loss after a head injury extraordinarily occurs in the contralateral side of the trauma as what happened in our case. In addition, the absence of fractures makes this phenomenon even more unusual.
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spelling doaj-art-4e8ff15657b3480c8d48015df2448d2c2025-02-03T01:22:23ZengWileyCase Reports in Otolaryngology2090-67652090-67732016-01-01201610.1155/2016/21231822123182Contralateral Cochlear Labyrinthine Concussion without Temporal Bone Fracture: Unusual Posttraumatic ConsequenceI. M. Villarreal0D. Méndez1J. M. Duque Silva2P. Ortega del Álamo3Otorhinolaryngology Department, “Móstoles” University Hospital, Madrid, SpainOtorhinolaryngology Department, “Móstoles” University Hospital, Madrid, SpainOtorhinolaryngology Department, “Móstoles” University Hospital, Madrid, SpainOtorhinolaryngology Department, “Móstoles” University Hospital, Madrid, SpainIntroduction. Labyrinthine concussion is a term used to describe a rare cause of sensorineural hearing loss with or without vestibular symptoms occurring after head trauma. Isolated damage to the inner ear without involving the vestibular organ would be designated as a cochlear labyrinthine concussion. Hearing loss is not a rare finding in head trauma that involves petrous bone fractures. Nevertheless it generally occurs ipsilateral to the side of the head injury and extraordinarily in the contralateral side and moreover without the presence of a fracture. Case Report. The present case describes a 37-year-old patient with sensorineural hearing loss and tinnitus in his right ear after a blunt head trauma of the left-sided temporal bone (contralateral). Otoscopy and radiological images showed no fractures or any abnormalities. A severe sensorineural hearing loss was found in his right ear with a normal hearing of the left side. Conclusion. The temporal bone trauma requires a complete diagnostic battery which includes a neurotologic examination and a high resolution computed tomography scan in the first place. Hearing loss after a head injury extraordinarily occurs in the contralateral side of the trauma as what happened in our case. In addition, the absence of fractures makes this phenomenon even more unusual.http://dx.doi.org/10.1155/2016/2123182
spellingShingle I. M. Villarreal
D. Méndez
J. M. Duque Silva
P. Ortega del Álamo
Contralateral Cochlear Labyrinthine Concussion without Temporal Bone Fracture: Unusual Posttraumatic Consequence
Case Reports in Otolaryngology
title Contralateral Cochlear Labyrinthine Concussion without Temporal Bone Fracture: Unusual Posttraumatic Consequence
title_full Contralateral Cochlear Labyrinthine Concussion without Temporal Bone Fracture: Unusual Posttraumatic Consequence
title_fullStr Contralateral Cochlear Labyrinthine Concussion without Temporal Bone Fracture: Unusual Posttraumatic Consequence
title_full_unstemmed Contralateral Cochlear Labyrinthine Concussion without Temporal Bone Fracture: Unusual Posttraumatic Consequence
title_short Contralateral Cochlear Labyrinthine Concussion without Temporal Bone Fracture: Unusual Posttraumatic Consequence
title_sort contralateral cochlear labyrinthine concussion without temporal bone fracture unusual posttraumatic consequence
url http://dx.doi.org/10.1155/2016/2123182
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AT dmendez contralateralcochlearlabyrinthineconcussionwithouttemporalbonefractureunusualposttraumaticconsequence
AT jmduquesilva contralateralcochlearlabyrinthineconcussionwithouttemporalbonefractureunusualposttraumaticconsequence
AT portegadelalamo contralateralcochlearlabyrinthineconcussionwithouttemporalbonefractureunusualposttraumaticconsequence