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Intralabyrinthine Hemorrhage
Philip R. Chapman, MD; Troy A. Hutchins, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Intralabyrinthine hemorrhage (ILH)
            • Synonyms

              • Inner ear (IE) hemorrhage, membranous labyrinthine hemorrhage, perilymphatic labyrinthine hemorrhage
            • Definitions

              • Blood within normally fluid-filled spaces of labyrinth

            IMAGING

            • General Features

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Microscopic Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Young YH: Contemporary review of the causes and differential diagnosis of sudden sensorineural hearing loss. Int J Audiol. 59(4):243-53, 2020
                                    2. Chen K et al: Audiological outcomes in sudden sensorineural hearing loss with presumed inner ear hemorrhage. Am J Otolaryngol. 40(2):274-8, 2019
                                    3. Chen XH et al: The natural history of labyrinthine hemorrhage in patients with sudden sensorineural hearing loss. Ear Nose Throat J. 98(5):E13-20, 2019
                                    4. Fujita T et al: The prevalence of vestibular schwannoma among patients treated as sudden sensorineural hearing loss. Auris Nasus Larynx. 46(1):78-82, 2019
                                    5. Vivas EX et al: Spontaneous labyrinthine hemorrhage: a case series. Otolaryngol Head Neck Surg. 159(5):908-13, 2018
                                    6. Jeong KH et al: Abnormal magnetic resonance imaging findings in patients with sudden sensorineural hearing loss: Vestibular schwannoma as the most common cause of MR abnormality. Medicine (Baltimore). 95(17):e3557, 2016
                                    7. Kaya S et al: Effects of intralabyrinthine hemorrhage on the cochlear elements: a human temporal bone study. Otol Neurotol. 37(2):132-6, 2016
                                    8. Cervantes SS et al: Sudden sensorineural hearing loss associated with intralabyrinthine hemorrhage. Otol Neurotol. 36(8):e134-5, 2015
                                    9. Park JJ et al: A case of sudden deafness with intralabyrinthine hemorrhage and sudden deafness. J Audiol Otol. 19(3):178-81, 2015
                                    10. Eze N et al: De novo development and progression of endolymphatic sac tumour in von hippel-lindau disease: an observational study and literature review. J Neurol Surg B Skull Base. 74(5):259-65, 2013
                                    11. Rosado WM Jr et al: Sudden onset of sensorineural hearing loss secondary to intralabyrinthine hemorrhage: MRI findings. Ear Nose Throat J. 87(3):130-1, 2008
                                    12. Poh AC et al: Sudden deafness due to intralabyrinthine haemorrhage: a possible rare late complication of head and neck irradiation. Ann Acad Med Singapore. 36(1):78-82, 2007
                                    13. Dahlen RT et al: CT and MR imaging characteristics of intravestibular lipoma. AJNR Am J Neuroradiol. 2002 Sep;23(8):1413-7. Erratum in: AJNR Am J Neuroradiol. 24(2):296, 2003
                                    14. Hegarty JL et al: The value of enhanced magnetic resonance imaging in the evaluation of endocochlear disease. Laryngoscope. 112(1):8-17, 2002
                                    15. Schick B et al: Magnetic resonance imaging in patients with sudden hearing loss, tinnitus and vertigo. Otol Neurotol. 22(6):808-12, 2001
                                    16. Shinohara S et al: Clinical features of sudden hearing loss associated with a high signal in the labyrinth on unenhanced T1-weighted magnetic resonance imaging. Eur Arch Otorhinolaryngol. 257(9):480-4, 2000
                                    17. Whitehead RE et al: Spontaneous labyrinthine hemorrhage in sickle cell disease. AJNR Am J Neuroradiol. 19(8):1437-40, 1998
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Intralabyrinthine hemorrhage (ILH)
                                              • Synonyms

                                                • Inner ear (IE) hemorrhage, membranous labyrinthine hemorrhage, perilymphatic labyrinthine hemorrhage
                                              • Definitions

                                                • Blood within normally fluid-filled spaces of labyrinth

                                              IMAGING

                                              • General Features

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Microscopic Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Young YH: Contemporary review of the causes and differential diagnosis of sudden sensorineural hearing loss. Int J Audiol. 59(4):243-53, 2020
                                                                      2. Chen K et al: Audiological outcomes in sudden sensorineural hearing loss with presumed inner ear hemorrhage. Am J Otolaryngol. 40(2):274-8, 2019
                                                                      3. Chen XH et al: The natural history of labyrinthine hemorrhage in patients with sudden sensorineural hearing loss. Ear Nose Throat J. 98(5):E13-20, 2019
                                                                      4. Fujita T et al: The prevalence of vestibular schwannoma among patients treated as sudden sensorineural hearing loss. Auris Nasus Larynx. 46(1):78-82, 2019
                                                                      5. Vivas EX et al: Spontaneous labyrinthine hemorrhage: a case series. Otolaryngol Head Neck Surg. 159(5):908-13, 2018
                                                                      6. Jeong KH et al: Abnormal magnetic resonance imaging findings in patients with sudden sensorineural hearing loss: Vestibular schwannoma as the most common cause of MR abnormality. Medicine (Baltimore). 95(17):e3557, 2016
                                                                      7. Kaya S et al: Effects of intralabyrinthine hemorrhage on the cochlear elements: a human temporal bone study. Otol Neurotol. 37(2):132-6, 2016
                                                                      8. Cervantes SS et al: Sudden sensorineural hearing loss associated with intralabyrinthine hemorrhage. Otol Neurotol. 36(8):e134-5, 2015
                                                                      9. Park JJ et al: A case of sudden deafness with intralabyrinthine hemorrhage and sudden deafness. J Audiol Otol. 19(3):178-81, 2015
                                                                      10. Eze N et al: De novo development and progression of endolymphatic sac tumour in von hippel-lindau disease: an observational study and literature review. J Neurol Surg B Skull Base. 74(5):259-65, 2013
                                                                      11. Rosado WM Jr et al: Sudden onset of sensorineural hearing loss secondary to intralabyrinthine hemorrhage: MRI findings. Ear Nose Throat J. 87(3):130-1, 2008
                                                                      12. Poh AC et al: Sudden deafness due to intralabyrinthine haemorrhage: a possible rare late complication of head and neck irradiation. Ann Acad Med Singapore. 36(1):78-82, 2007
                                                                      13. Dahlen RT et al: CT and MR imaging characteristics of intravestibular lipoma. AJNR Am J Neuroradiol. 2002 Sep;23(8):1413-7. Erratum in: AJNR Am J Neuroradiol. 24(2):296, 2003
                                                                      14. Hegarty JL et al: The value of enhanced magnetic resonance imaging in the evaluation of endocochlear disease. Laryngoscope. 112(1):8-17, 2002
                                                                      15. Schick B et al: Magnetic resonance imaging in patients with sudden hearing loss, tinnitus and vertigo. Otol Neurotol. 22(6):808-12, 2001
                                                                      16. Shinohara S et al: Clinical features of sudden hearing loss associated with a high signal in the labyrinth on unenhanced T1-weighted magnetic resonance imaging. Eur Arch Otorhinolaryngol. 257(9):480-4, 2000
                                                                      17. Whitehead RE et al: Spontaneous labyrinthine hemorrhage in sickle cell disease. AJNR Am J Neuroradiol. 19(8):1437-40, 1998