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Daniel J. Franklin, MD; Newton J. Coker, MD; Herman A. Jenkins, MD

Arch Otolaryngol Head Neck Surg. 1989;115(1):41-45.

Abstract
• While auditory involvement in multiple sclerosis is not infrequent, sensorineural hearing loss as the initial manifestation of this disease is rare. Auditory brain-stem evoked responses, speech audiometry, acoustic reflexes, and electronystagmography yield significant objective information concerning brain-stem involvement. Magnetic resonance imaging objectively documents white matter demyelinization. The acute onset of the retrocochlear type of auditory dysfunction without other evidence of central nervous system involvement can be an early manifestation of this disease. Two patients with multiple sclerosis had sudden sensorineural hearing loss, with one patient experiencing this as the sole initial complaint.

(Arch Otolaryngol Head Neck Surg 1989;115:41-45)

Author Affiliations
From the Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston.

Footnotes
Accepted for publication Aug 12, 1988.

Reprint requests to Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030 (Dr Jenkins).

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