Migraine as a cause of sudden hearing loss

Author(s): Baloh, R. W.

Journal/Book: Headache. 1996; 36: 875 Kings Highway, Ste 200, Woodbury, NJ 08096. Amer Assoc Study Headache. 24-28.

Abstract: Sudden hearing loss is common, but unexplained in many cases. Although usually attributed to a viral infection of the inner ear in most patients, the abrupt onset of the hearing loss in many patients argues against a viral etiology. We present 13 cases of unexplained sudden hearing loss who meet the diagnostic criteria for migraine. All had the sudden onset of hearing loss and other neurologic phenomena that could be attributed to vasospasm, including vertigo, amaurosis fugax, hemiplegia, facial pain, chest pain, and visual aura. We suggest that vasospasm of the cochlear vasculature, was the cause of the sudden hearing loss in these patients. A personal and family history of migraine should be sought in patients with sudden hearing loss and when found, a trial of antispasmodic agents should be considered.

Note: Article RW Baloh, Univ Calif Los Angeles, Sch Med, Reed Neurol Res Ctr, Dept Neurol, 10833 Le Conte Ave, Los Angeles, CA 90024 USA

Keyword(s): migraine; sudden hearing loss; vasospasm; MENIERES-DISEASE; AMAUROSIS FUGAX

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