Autoimmune inner ear disease in a young patient – an unsolvable challenge?

Lennart Weitgassera Department of Otorhinolaryngology, Head and Neck Surgery, Paracelsus Medical University Salzburg, AustriaCorrespondence[email protected]

https://orcid.org/0000-0002-1577-8056 View further author information

Florentina Ferstla Department of Otorhinolaryngology, Head and Neck Surgery, Paracelsus Medical University Salzburg, AustriaView further author information

Anna O'Sullivana Department of Otorhinolaryngology, Head and Neck Surgery, Paracelsus Medical University Salzburg, Austria;b Institute of Pathology, Paracelsus Medical University Salzburg, Austria;c Institute of Experimental Neuroregeneration, Paracelsus Medical University, Salzburg, AustriaView further author information

Sebastian Röscha Department of Otorhinolaryngology, Head and Neck Surgery, Paracelsus Medical University Salzburg, AustriaView further author information

Figures & data

Figure 1. A + B: pure tone audiogram of right (red) and left (blue) ear, air and bone conduction. A: audiogram at initial consultation: hearing thresholds within normal limits, slight decrease in mid and high frequencies on the left side compared to the right side. B: follow-up audiogram after 4 weeks: bilateral asymmetric sensorineural hearing loss.

Figure 2. A: Video head impulse test: loss of function of all six semicircular canals on both sides. B: Air caloric stimulation (warm and cold): missing response on both sides.

Figure 3. Audiometric follow-up of both ears for 24 months (Jan 2019 – Jan 2021) (x-axis), given in PTA [0.5–4 khz; dBHL] (y-axis) for each ear – red: right; blue: left. Arrows mark the initiation of each therapeutic agent.

Table 1. Performed diagnostic procedures.

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Table 2 Applied therapies including dose, duration, and type of administration.

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Autoimmune inner ear disease in a young patient – an unsolvable challenge?

Table 1. Performed diagnostic procedures.

Table 2 Applied therapies including dose, duration, and type of administration.

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Autoimmune inner ear disease in a young patient – an unsolvable challenge?

Figures & data

Table 1. Performed diagnostic procedures.

Table 2 Applied therapies including dose, duration, and type of administration.

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