Spontaneous intracochlear haemorrhage as differential diagnosis to stroke.
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.
Clinical pearl
Clinicians should consider spontaneous intracochlear haemorrhage in patients presenting with sudden sensorineural hearing loss and vertigo, particularly when stroke is suspected.