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VIIIth cranial nerve involvement in sarcoidosis

Published online by Cambridge University Press:  29 June 2007

B. J. O'Reilly  and
E. H. Burrows
B. J. O'Reilly*
Affiliation:
Princess Mary's Royal Air Force Hospital, Halton, Aylesbury, Bucks, UK
E. H. Burrows
Affiliation:
King Edward VII Hospital, Midhurst, West Sussex, UK
*
Wing Commander B. J. O'Reilly, F.R.C.S., D.L.O., Princess Mary's Hospital, Halton, Aylesbury, Bucks HP22 5PS.
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Abstract

Hearing loss and vertigo are uncommon but well-recognized complications of neurosarcoidosis. Until recently the site of the lesion has been debatable and the efficacy of steroids commonly prescribed for this type of hearing loss has been said to be doubtful. A case is presented of sarcoidosis-induced hearing loss in which bilateral VIIIth nerve lesions were demonstrable by MRI with gadolinium enhancement. Treatment with high- dose steroids and azathioprine produced a symptomatic improvement and virtual resolution of the lesions.

Keywords

SarcoidosisMagnetic resonance imagingHearing lossVertigoSteroids
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 11 , November 1995 , pp. 1089 - 1093
Copyright
Copyright © JLO (1984) Limited 1995

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