“…LVAS accounts for approximately 13–15 % of pediatric SNHL cases [ [5] , [6] , [7] ]. The majority of LVAS cases (81–94 %) show bilateral SNHL, which can be fluctuating and/or progressive, and is frequently accompanied by vestibular impairment, such as episodic vertigo or postural instability [ 1 , 8 ]. Factors that elevate intracranial pressure, such as viral infections, head trauma, or emotional stress, can precipitate sudden hearing loss and/or vertigo in LVAS patients [ 9 ].…”