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Research in Vestibular Science > Volume 12(4); 2013 > Article
Research in Vestibular Science 2013;12(4): 140-144.
자발성 미로내 출혈 후 발생한 Tullio 현상 1예
최재원, 김종준, 김영효, 임현우
울산대학교 의과대학 강릉아산병원 이비인후과
Tullio Phenomenon Following Spontaneous Intralabyrinthine Gross Hemorrhage
Jae Won Choi, Jong Jun Kim, Young Hyo Kim, Hyun Woo Lim
Department of Otolaryngology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. earnhear@gmail.com
Tullio phenomenon is a pattern of sound induced unsteadiness, imbalance or vertigo, associated with disturbances of oculomotor and postural control. As a possible cause of sudden sensorineural hearing loss, intralabyrinthine gross hemorrhage has been reported in subjects with bleeding tendency. We report a case of spontaneous intralabyrinthine hemorrhage followed by presentation of Tullio phenomenon. A 35-year-old man presented with sudden left side hearing loss and vertigo. Audiometry results indicated left total deafness and magnetic resonance images revealed left intralabyrinthine hemorrhage. At 1 month after hearing loss, sound and pressure-induced vertigo and disequilibrium newly developed. Follow-up images indicated signs of fibrosis in the left labyrinth and nystagmography results showed induction of nystagmus according to the stapedial reflex. This case suggests possibility of Tullio phenomenon in sudden sensorineural hearing loss patients.
Keywords: Sudden hearing loss; Hemorrhage; Tullio phenomenon
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