sudden-onset SNHL Flashcards
1
Q
what does a sudden-onset SNHL warrant?
A
an urgent referral to ENT for audiology assessment and brain MRI
2
Q
what is the cause of SSNHL?
A
majority of cases are idiopathic
3
Q
in SSNHL, what is an MRI scan done for?
A
to exclude vestibular schwannoma
4
Q
what is used by ENT for all cases of SSNHL?
A
high dose oral corticosteroids
5
Q
what does this result mean:
Weber test lateralises to the left side. Rinne test shows air conduction louder than bone conduction bilaterally.
A
Weber’s test lateralised to the left = conductive HL in left ear or SNHL in right ear
Rinne’s test air conduction louder than bone conduction ⇒ SNHL in right ear
6
Q
what can be given if there is no response to oral steroids?
A
intra-tympanic steroids
