Spontaneous intracochlear haemorrhage as differential diagnosis to stroke.
Melissa Joo Young, Ronald Antulov, Helle Elisabeth Agger-Nielsen
✦ AI-curated · Sources linked
Case in brief
A male patient in his early 70s presented with unilateral sudden sensorineural hearing loss and vertigo, initially misdiagnosed as a stroke. Imaging revealed spontaneous intracochlear haemorrhage as the underlying cause. The case highlights the critical role of timely imaging in differentiating between stroke and intracochlear events, leading to appropriate management and auditory rehabilitation considerations.
Diagnostic / clinical pearl
Clinicians should consider spontaneous intracochlear haemorrhage in patients presenting with sudden sensorineural hearing loss and vertigo, particularly when stroke is suspected.
Why it matters
This case underscores the importance of accurate imaging in timely diagnosis, which can significantly impact management and rehabilitation strategies for patients with hearing loss.