Hearing loss in vogt-koyanagi-harada syndrome treated with intratympanic steroids

Abstract

Educational Objective:At the conclusion of this presentation, the participants should be able todescribe Vogt-Koyanagi-Harada (VHK) Syndrome, know it as a rarecause of inner ear symptoms, and recognize the possible utility ofintratympanic steroid injections for the treatment of sensor ineuralhearing loss (SNHL) in these patients. Objectives: • The case of a patient with VHK Syndrome and SNHL treated successfullywith intratympanic steroid injections is described. • The otologic manifestations of VHK Syndrome and treatment optionsreported in the literature are discussed. Methods: • Chart review, with discussion of the pertinent history, clinical course, and audiologic studies • Literature review Results:The patient is a 68 year-old woman previously diagnosed with VHKSyndrome, presenting to the otologist with long-standing fluctuatingvertigo, tinnitus, and bilateral sensorineural hearing loss. Sheexperienced improvement in her symptoms after intratympanic steroidinjections. This is the first report of a patient with VHK Syndrometreated successfully with intratympanic steroids. Conclusion:In patients with VHK syndrome who experience sudden or fluctuating SNHL, intratympanic steroids are an effective treatment option.