PMID: 889226Jul 1, 1977Paper

Inner ear hemorrhage and endolymphatic hydrops in a leukemic patient with sudden hearing loss

The Annals of Otology, Rhinology, and Laryngology
I Sando, T Egami

Abstract

Several significant histopathological findings were noted in a case of sudden hearing loss in a patient with chronic lymphocytic leukemia. The major pathological findings were leukemic hemorrhage into both perilymphatic and endolymphatic spaces in the cochlear and vestibular systems, endolymphatic hydrops in the cochlea and sacculus, and a relatively narrowed and straightened vestibular aqueduct and endolymphatic sac. Additional interesting findings include: loss of hair cells in the organ of Corti and vestibular end-organs; destruction of the stria vascularis (possibly the origin of the blood); fibrosis in the perilymphatic spaces in the cochlea and the vestibule, and in the endolymphatic space in the vestibule; and new bone formation in the perilymphatic spaces in the vestibule. The leukemic infiltrate observed in both the cochlea and the vestibule was not considered to be significant. Hemorrhage into the cochlea is thought to be the most reasonable cause of the sudden hearing loss in this case. Also discussed are fibrosis and osteogenesis as a late consequence of hemorrhage, and the coexistence of endolymphatic hydrops with an anomaly of the vestibular aqueduct and endolymphatic sac.

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Citations

Jan 1, 1986·Archives of Oto-rhino-laryngology·H F Schuknecht, E D Donovan
Jan 1, 1993·Acta Oto-laryngologica. Supplementum·K YamadaJ Suzuki
Mar 17, 2015·Acta Oto-laryngologica·Chien-Ta LinYi-Ho Young
Jun 24, 2008·Acta Oto-laryngologica·Kazuhiko TakeuchiYuichi Majima
Apr 1, 2006·The Annals of Otology, Rhinology, and Laryngology·Gabriella CadoniGaetano Paludetti
Aug 19, 2007·Journal of Neurosurgery·Jay JagannathanH Jeffrey Kim
Mar 29, 2005·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Makoto SugiuraEisuke Sato
Dec 26, 2009·Magnetic Resonance in Medical Sciences : MRMS : an Official Journal of Japan Society of Magnetic Resonance in Medicine·Shinji NaganawaTsutomu Nakashima
Mar 28, 2019·The Annals of Otology, Rhinology, and Laryngology·Tadao OkayasuJoseph B Nadol
Jan 1, 1991·Acta Oto-laryngologica. Supplementum·M M Paparella
Jan 1, 1994·Acta Oto-laryngologica. Supplementum·K Ogawa, J Kanzaki
Dec 17, 2015·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Serdar KayaSebahattin Cureoglu
Sep 20, 2006·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Matthew Taljebini, Fred H Linthicum
Nov 20, 2002·Journal of Computer Assisted Tomography·Jai H ChoiAnthony Chang
Jul 24, 2018·The Annals of Otology, Rhinology, and Laryngology·Nathan D CassCory D F Portnuff
Apr 25, 2017·The Annals of Otology, Rhinology, and Laryngology·Serdar KayaSebahattin Cureoglu
Sep 10, 2020·International Journal of Environmental Research and Public Health·So Young KimHyo Geun Choi
Apr 27, 2005·Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Société d'oto-laryngologie des hôpitaux de Paris·J-B Charrier, P Tran Ba Huy

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