Cochleitis in Vogt-Koyanagi-Harada disease

Case contributed by Alexandre Niro
Diagnosis probable

Presentation

Sudden right deafness.

Patient Data

Age: 40 years
Gender: Female
This study is a stack
Axial
FLAIR C+
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Axial 3D
T2 EG
This study is a stack
Axial T1
fat sat
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Info

Bilateral hyperintensity on FLAIR sequence, but, with slight enhancement on T1 sequence in the right cochlea, as opposed to the left one, in keeping with an anterior labyrinthitis (or cochleitis).

Bilateral bulging of the retina on FLAIR with contrast images related to exsudative retinal detachments.

No abnormality is seen in the brain parenchyma.

Case Discussion

The patient had already been monitored for her Vogt-Koyanagi-Harada syndrome when she presented in our emergency department with right-sided sudden deafness.

The MRI was performed in order to rule out a stroke.

The hypothesis of a right cochleitis, raised by the radiologist, was then confirmed after the examination by an ENT and the patient was given a corticosteroid treatment.

She eventually recovered from her symptoms.

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