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

Published online by Cambridge University Press:  18 December 2007

S Kariya ,
K Fukushima ,
Y Kataoka ,
S Tominaga  and
K Nishizaki
S Kariya*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
K Fukushima
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Y Kataoka
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
S Tominaga
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
K Nishizaki
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
*
Address for correspondence: Dr Shin Kariya, Department of Otolaryngology–Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama 700-8558, Japan. Fax: +81 86 235 7308 E-mail: skariya@cc.okayama-u.ac.jp
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Abstract

Objective:

Systemic autoimmune diseases, including ulcerative colitis, may involve the inner ear. Several ulcerative colitis cases presenting with sensorineural hearing loss have been reported. We report the T2-weighted, three-dimensional, inner-ear magnetic resonance imaging findings in the inner ears of two such patients.

Methods:

Case reports and a review of the literature concerning autoimmune disease and sensorineural hearing loss are presented.

Results:

We describe two cases of ulcerative colitis with sensorineural hearing loss in which three-dimensional magnetic resonance imaging revealed obliteration of the inner ear. Those inner ears with obliteration had severe hearing loss, and responded poorly to steroid therapy.

Conclusion:

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.

Keywords

Ulcerative ColitisSensorineural Hearing LossMRIInner Ear

Information

Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 8 , August 2008 , pp. 871 - 874
Copyright
Copyright © JLO (1984) Limited 2007

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