Superficial siderosis of the central nervous system: Phenotype and implications for audiology and otology

Sarah A. Sydlowski, Michael J Cevette, Jon Shallop

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: Superficial siderosis of the central nervous system (SSCN) results after chronic subarachnoid hemorrhage. Consequent demyelination, particularly of the cochleovestibular nerve and cerebellum, causes auditory-vestibular dysfunction. Predominant symptoms include progressive sensorineural hearing loss, imbalance, and ataxia. Despite characteristic auditory-vestibular involvement, SSCN is not well known among the hearing health community. Study Design: Clinical records of 49 patients diagnosed with SSCN were reviewed. Analysis included review of demographic, audiometric, and vestibular data of the largest sample to date and comparison to 31 audiovestibular case reports in the literature. Results: Hearing loss and disordered balance were reported by 92% and 67% of patients, respectively. Results suggest variable but substantial auditory-vestibular involvement related to SSCN. Hearing loss is typically progressive, sloping, and asymmetric and exceeds hearing loss expected based on age or sex. Decreased word recognition is possible and traditional amplification may fail to provide benefit. Conclusion: SSCN is a destructive disorder affecting the auditory-vestibular system. Although not a common diagnosis, SSCN may be more prevalent than clinicians realize. Site of lesion may be anywhere within the auditory-vestibular system from the inner ear to the cortex, although the cochleovestibular nerve and cerebellum are particularly vulnerable. The progressive retrocochlear nature of the disorder makes differential diagnosis difficult and development of effective treatment options challenging. It is essential that audiologists and otologists recognize this uncommon cause of sensorineural hearing loss and balance disorder and the implications for evaluation, treatment, and counseling.

Original languageEnglish (US)
Pages (from-to)900-908
Number of pages9
JournalOtology and Neurotology
Volume32
Issue number6
DOIs
StatePublished - Aug 2011

Fingerprint

Siderosis
Audiology
Otolaryngology
Central Nervous System
Phenotype
Vestibulocochlear Nerve
Hearing Loss
Sensorineural Hearing Loss
Cerebellum
Demyelinating Diseases
Inner Ear
Subarachnoid Hemorrhage
Ataxia
Hearing
Counseling
Differential Diagnosis
Demography
Health
Therapeutics

Keywords

  • Ataxia
  • Hearing loss
  • Hemosiderin
  • Sensorineural retrocochlear
  • Superficial siderosis

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Clinical Neurology
  • Sensory Systems
  • Medicine(all)

Cite this

Superficial siderosis of the central nervous system : Phenotype and implications for audiology and otology. / Sydlowski, Sarah A.; Cevette, Michael J; Shallop, Jon.

In: Otology and Neurotology, Vol. 32, No. 6, 08.2011, p. 900-908.

Research output: Contribution to journalArticle

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