Cochlear and Vestibular Functional Study in Patients with Sudden Deafness and Lyme Disease


Lyme disease (LD) and idiopathic sudden deafness (ISD) are supposed to be different diseases with different aetiologies. In an attempt to confirm this assumption, 10 patients with confirmed LD and 12 patients with ISD were consecutively included into the study. Further to the laboratory and audio logical investigation, a low frequency sound (LFS) stimulation on posturography was performed and evaluated. Patients with ISD had higher pure tone average (PTA) than patients with LD (PTA ISD/LD was 72 decibel (dB)/23 dB). There was no difference of vertigo between LD and ISD patients. Patients with ISD have more body sway velocity during the first stimulation than patients with LD. We conclude that the cochlear organ is more affected in ISD patients than in patients with LD. However, the vestibular organ seems to be affected in both diseases. ISD and LD are two different disease entities with different aetiologies but with common otological clinical signs.

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Z. Selmani and I. Pyykkö, "Cochlear and Vestibular Functional Study in Patients with Sudden Deafness and Lyme Disease," International Journal of Otolaryngology and Head & Neck Surgery, Vol. 3 No. 1, 2014, pp. 46-50. doi: 10.4236/ijohns.2014.31010.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] L. E. Walther, H. Hentschel, A. Oehme, H. Gudziol and E. Beleites, “Lyme Disease—A Reason for Sudden Sensorineural Hearing Loss and Vestibular Neuronitis?” Laryngo-Rhino-Otologie, Vol. 82, No. 4, 2003, pp. 249-257.
[2] N. Peeters, B. Y. van der Kolk, S. F. Thijsen and D. R. Colnot, “Lyme Disease Associated with Sudden Sensorineural Hearing Loss: Case Report and Literature Review,” Otology & Neurotology, Vol. 34, No. 5, 2013, pp. 832-837.
[3] M. C. Lorenzi, R. S. Bittar, M. E. Pedalini, F. Zerati, N. H. Yoshinari and R. F. Bento, “Sudden Deafness and Lyme Disease,” Laryngoscope, Vol. 113, No. 2, 2003, pp. 312-315.
[4] Z. Selmani, I. Pyykkö, H. Ishizaki and N. Ashammakhi, “Use of Electrocochleography in Assessing Endolymphatic Hydrops in Patients with Lyme Disease and Ménière’s Disease,” Acta Otolaryngologica (Stockh), Vol. 122, No. 2, 2002, pp. 173-178.
[5] A. L. Moscatello, D. L. Worden, R. B. Nadelman, G. Wormser and F. Lucente, “Otolaryngologic Aspects of Lyme Disease,” Laryngoscope, Vol. 101, No. 6, 1991, pp. 592-595.
[6] R. Filipo, A. Cordier, M. Barbara and G. A. Bertoli, “Electrocochleographic Findings: Menière’s Disease versus Sudden Sensorineural Hearing Loss,” Acta Otolaryngologica (Stockh), Vol. 117, No. s526, 1997, pp. 21-23.
[7] N. Yanagihara, S. Murakami, M. Asai, T. Hatakeyama and K. Zenke, “Hearing Improvement Following Removal of Acoustic Neuroma with Preoperative Sudden Deafness,” Ear Nose Throat Journal, Vol. 73, No. 12, 1994, pp. 890-894.
[8] V. Goodhill, “Sudden Deafness and Round Window Rupture,” Laryngoscope, Vol. 81, 1971, pp. 1462-1474.
[9] D. Yehudai, Y. Shoenfeld and E. Toubi, “The Autoimmune Characteristics of Progressive or Sudden Sensorineural Hearing Loss,” Autoimmunity, Vol. 39, No. 2, 2006, pp. 153-158.
[10] R. Mentel, H. Kaftan, U. Wegner, A. Reismann and L. Gurtler, “Are Enterovirus Infection a Co-Factor in Sudden Hearing Loss,” Journal of Medical Virology, Vol. 72, No. 4, 2004, pp. 625-629.
[11] M. Peltomaa, I. Pyykkö, I. Seppälä and M. Viljanen, “Lyme Borreliosis—An Unusual Cause of Vertigo,” Auris Nasus Larynx, Vol. 25, No. 3, 1998, pp. 233-242.
[12] Z. Selmani, H. Ishizaki and I. Pyykkö, “Can Low Frequency Sound Stimulation during Posturography help diagnosing possible Perilymphatic Fistula in Patients with Sensorineural Hearing Loss and/or Vertigo?” European Archives of Oto-Rhino-Laryngology, Vol. 261, No. 3, 2004, pp. 129-132.
[13] H. Aalto, I. Pyykkö and J. Starck, “Computerized Posturography, a Development of the Measuring System,” Acta Otolaryngol (Stockh), Vol. 105, No. s449, 1988, pp. 71-75.
[14] H. Enbom, M. Magnusson, I. Pyykkö and L. Schalen, “Presentation of a Posturographic Test with Loading of the Proprioceptive System,” Acta Otolaryngol (Stockh), Vol. 105, No. s455, 1988, pp. 58-61.
[15] H. Richardson, J. P. Birchall, J. Hill and T. McMaster, “Should We Routinely Screen for Lyme Disease in Patients with Asymmetrical Hearing Loss?” British Journal of Audiology, Vol. 28, No. 2, 1994, pp. 59-61.
[16] P. Wahlberg, H. Granlund, D. Nyman, J. Panelius and I. Seppälä, “Late Lyme Borreliosis: Epidemiology, Diagnosis and Clinical Features,” Annals of Medicine, Vol. 25, No. 4, 1993, pp. 349-352.
[17] H. Ishizaki, I. Pyykkö, H. Aalto and J. Starck, “Tullio Phenomenon and Postural Stability. Experimental Study in Normal Subjects and Patients with Vertigo,” Annals of Otology, Rhinology & Laryngology, Vol. 100, No. 12, 1991, pp. 976-983.

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