Inner-ear obliteration in ulcerative colitis patients with sensorineural hearing loss

Abstract

To our knowledge, there has been no previous published report of the T2-weighted, inner-ear magnetic resonance imaging findings of cases of ulcerative colitis with sensorineural hearing loss. This paper represents the first published report in the world literature of inner-ear obliteration in such patients. Three-dimensional magnetic resonance imaging is beneficial in elucidating the pathophysiology of the inner-ear involvement seen in ulcerative colitis.

Cochlear involvement in patients with ulcerative colitis

“…20 Kariya et al described two cases of ulcerative colitis with SNHL, in which threedimensional magnetic resonance imaging demonstrated obliteration of the inner ear. 21 In our patient group, there were only four subjects (9 per cent) with PTA values higher than 20 dB. Although pure tone hearing threshold averages were at normal levels in ulcerative colitis patients, they were significantly higher compared to the control group.…”

“…Kariya et al . described two cases of ulcerative colitis with SNHL, in which three-dimensional magnetic resonance imaging demonstrated obliteration of the inner ear 21 . In our patient group, there were only four subjects (9 per cent) with PTA values higher than 20 dB.…”

Rapidly Destructive Autoimmune Labyrinthitis Associated With Ulcerative Colitis

“…Subsequent obliteration of the inner ear has been associated with poor prognosis. 3 Prompt detection and aggressive immunosuppressive therapy in the disease is crucial to prevent permanent sensorineural hearing loss. Unfortunately, antibodies specific to cochlear antigens demonstrate low specificity for immune-related sensorineural hearing loss.…”

Ear Involvement in Inflammatory Bowel Disease: A Review of the Literature

“…In two cases of ulcerative colitis and severe SNHL, three-dimensional magnetic resonance imaging revealed obliteration of the inner ear. These patients responded poorly to steroid therapy [ 30 ]. Thus, the Otoblot test and three-dimensional MRI appear to play a limited diagnostic role in IBD patients with SNHL and possibly AIED ( Fig.…”