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VIIIth cranial nerve involvement in sarcoidosis

Published online by Cambridge University Press:  29 June 2007

B. J. O'Reilly  and
E. H. Burrows
B. J. O'Reilly*
Affiliation:
Princess Mary's Royal Air Force Hospital, Halton, Aylesbury, Bucks, UK
E. H. Burrows
Affiliation:
King Edward VII Hospital, Midhurst, West Sussex, UK
*
Wing Commander B. J. O'Reilly, F.R.C.S., D.L.O., Princess Mary's Hospital, Halton, Aylesbury, Bucks HP22 5PS.
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Abstract

Hearing loss and vertigo are uncommon but well-recognized complications of neurosarcoidosis. Until recently the site of the lesion has been debatable and the efficacy of steroids commonly prescribed for this type of hearing loss has been said to be doubtful. A case is presented of sarcoidosis-induced hearing loss in which bilateral VIIIth nerve lesions were demonstrable by MRI with gadolinium enhancement. Treatment with high- dose steroids and azathioprine produced a symptomatic improvement and virtual resolution of the lesions.

Keywords

SarcoidosisMagnetic resonance imagingHearing lossVertigoSteroids
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 11 , November 1995 , pp. 1089 - 1093
Copyright
Copyright © JLO (1984) Limited 1995

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References

Babin, R. W., Chan, L., Aschenbrener, C. (1984) Histopathology of neurosensory deafness in sarcoidosis. Annals of Otology, Rhinology and Laryngology 93: 389–393.CrossRefGoogle ScholarPubMed
Chen, R. C. Y., McLeod, J. G. (1989) Neurological complications of sarcoidosis. Clinical Experimental Neurology 26: 99–112.Google ScholarPubMed
Fitzgerald, G., Hallpike, C. S. (1942) Studies in human vestibular function. 1: Observations on the directional preponderance of caloric nystagmus resulting from cerebral lesions. Brain 65: 115–137.CrossRefGoogle Scholar
Gristwood, R. E. (1958) Nerve deafness associated with sarcoidosis. Journal of Laryngology and Otology 72: 479–491.CrossRefGoogle ScholarPubMed
Hooper, R., Holden, H. (1970) Acoustic and vestibular problems in sarcoidosis. Archives of Otolaryngology 92: 386–391.CrossRefGoogle ScholarPubMed
James, D. G., Sharma, O. P. (1967) Neurological complications of sarcoidosis. Proceedings of the Royal Society of Medicine 60: 1169–1173.CrossRefGoogle Scholar
Majumdar, B., Crowther, J. (1983) Hearing loss in sarcoidosis. Journal of Laryngology and Otology 97: 635–639.CrossRefGoogle ScholarPubMed
Pedersen, E. K., Waldrum, H., Mair, I. W. S. (1979) Acute cochleovestibular dysfunction. Clinical Otolaryngology 4: 401–406.CrossRefGoogle ScholarPubMed
Sherman, J. L., Stern, B. J. (1990) Sarcoidosis of the CNS: comparison of the unenhanced and enhanced images. American Journal of Radiology 155: 1293–1301.Google Scholar
Tharp, B. R., Pfeiffer, J. B. (1969) Sarcoidosis and the acoustic nerve. Archives of Otolaryngology 90: 124–130.Google ScholarPubMed