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15 Possible Causes for Fluctuating Hearing Loss, Horner's Syndrome, Pulsatile Tinnitus

  • Acoustic Neuritis

    In addition to sudden and severe vertigo, Meniere's disease can cause fluctuating hearing loss and buzzing, ringing or a feeling of fullness in your ear.[] Small-vessel syndromes include the following: Lateral medullary syndrome (Wallenberg’s) with vertigo, dysarthria, Horner’s syndrome, and hemiataxia Anterior inferior cerebellar[] H93.92 Unspecified disorder of left ear H93.93 Unspecified disorder of ear, bilateral H93.A1 Pulsatile tinnitus, right ear H93.A2 Pulsatile tinnitus, left ear H93.A3 Pulsatile[]

  • Unilateral Deafness with Delayed Endolymphatic Hydrops

    loss acoustic neuroma (vestibular schwannoma): typically present with progressive asymmetric hearing loss but can sometimes have fluctuating hearing loss rarely have true[] Small-vessel syndromes include the following: Lateral medullary syndrome (Wallenberg’s) with vertigo, dysarthria, Horner’s syndrome, and hemiataxia Anterior inferior cerebellar[] Syndrome.110 Vascular insufficiency may be another cause of cervical vertigo.[]

  • Vertebral Artery Dissection

    OBJECTIVE: To study the prognostic importance of Horner syndrome (HS) in patients with internal carotid artery dissection (ICAD) or vertebral artery dissection (VAD).[] […] vertigo and sensorineural hearing loss with side-specific ataxia.[] “whooshing” sound in one of the ears, known as pulsatile tinnitus, or a sudden decrease in sense of taste and/or weakness on one side of the body.[]

  • Tinnitus

    hearing loss, pressure or fullness in one or both ears, and/or dizziness or balance problems .[] Many patients do not develop brain ischemia but have a triad of neck and head pain, Horner’s syndrome, and pulsatile tinnitus.[] […] and pulsatile tinnitus.[]

  • Internal Auditory Artery Occlusion

    Lateral medullary syndrome (Wallenbergs) - Dysphagia (n.ambiguus) I/L loss of pain and temp to face (spinal V) Vertigo, nausea, vomiting, nystagmus (vestibular nerve) Horners[] […] unilateral sensorineural hearing loss occurs.[] Auscultation of the areas around the orbit and ear may detect pulsatile tinnitus. The type of SNHL can assist in the localization of the lesion.[]

  • Spastic Ataxia with Congenital Miosis

    Horner's Syndrome.[] SXS: Recurrent attacks of vertigo (30 min-24 hr), fluctuating low freq SN hearing loss, tinnitus (often low tone and "blowing") and aural fullness.[] Malignant melanoma Obese woman, HA transient visual Sx, pulsatile tinnitus, papilledema, visual field loss, 6th nerve palsy Pseudotumor cerebri (idiopathic intracranial HTN[]

  • Vestibulocochlear Nerve Disease

    Characteristics of other disorders affecting the VIII nerve such as fluctuating hearing loss are not present [ 9 ]. A third suggestion comes from treatment efforts.[] For example, large and fixed in a CN III palsy, small and reactive in Horner’s syndrom e.[] For pulsatile tinnitus and typewriter tinnitus, the contact is at the peripheral nervous system segment.[]

  • Acute Sensorineural Hearing Loss by Acute Acoustic Trauma

    syndrome, sensory or temperature sensation abnormalities) Interpretation of findings Traumatic, ototoxic, and some infectious causes are usually apparent clinically.[] loss, radiation-induced hearing loss, endolymphatic hydrops, suspected retro-cochlear lesion or fluctuating hearing loss Previous ASNHL incident within the past 6 weeks Evidence[] Usually the tinnitus here is described as being pulsatile or clicking.[]

  • Diffuse Serous Labyrinthitis

    Occasionally, patients will note a fluctuating hearing loss, but most patients have an identifiable diagnosis.[] , hallucinosis, confusion, ipsilateral Horner’s syndrome, contralateral pain and temperature loss, internuclear ophthalmoplegia Coma from onset tetraplegia oculomotor palsy[] Pulsatile tinnitus Glomus tympanicum High riding/dehiscent jugular vein Ectopic carotid AVM, AV fistula Atherosclerotic disease Dissection FMD 6.[]

  • Central Positional Vertigo

    Breakout: Horner syndrome is a condition that occurs secondary to impaired sympathetic nervous system innervation to the face.[] People with this condition have the abrupt onset of severe vertigo and fluctuating hearing loss as well as periods in which they are symptom-free.[] […] low-frequency hearing loss, and aural fullness.[]

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