Some Causes of Sudden Hearing Loss

Type

Examples

Idiopathic

N/A

Accounts for a majority of cases

Obvious events

Acute infections (eg, bacterial meningitis, mumps, herpes)

Major head or ear trauma (including barotrauma during scuba diving causing perilymphatic fistula)

Ototoxic medications

Other disorders

Vestibular schwannoma

Systemic rheumatic and autoimmune disorders (eg, Cogan syndrome, granulomatosis with polyangiitis)

Cerebellar stroke

Meniere syndrome

Multiple sclerosis

Reactivation of syphilis in HIV-infected patient

Red blood cell abnormalities (eg, sickle cell disease)

Vascular disorders (eg, vertebrobasilar insufficiency)

* Loss occurs over 1–2 days.

N/A = not applicable.

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