Labyrinthine concussion following gunshot injury: A case report |
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Authors: | Jamie M Bogle David Barrs Matthew Wester Laurie Davis Michael J Cevette |
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Affiliation: | 1. Department of Otolaryngology, Mayo Clinic Arizona, Scottsdale, USA and bogle.jamie@mayo.edu;3. Department of Otolaryngology, Mayo Clinic Arizona, Scottsdale, USA and;4. Department of Audiology, Mayo Clinic Arizona, Scottsdale, USA |
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Abstract: | Objective: Labyrinthine concussion due to a postauricular gunshot wound has not been well reported. Design: Retrospective chart review. Study sample: We describe an otherwise healthy 22-year-old male who received a gunshot wound to the left mastoid and subsequently reported hearing loss and rotational vertigo. Results: Audiometric testing demonstrated significant inverted scoop shaped sensorineural hearing loss. Vestibular diagnostic testing indicated a significant uncompensated left peripheral vestibulopathy. Imaging demonstrated no structural changes to the middle ear or labyrinth, suggesting that the auditory and vestibular losses noted on diagnostic examination were likely due to labyrinthine concussion. Conclusions: Labyrinthine concussion may lead to reduced vestibular reflex pathway following gunshot wounds to the temporal bone. Clinical presentation is likely to vary significantly among cases. |
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Keywords: | Medical audiology vestibular anatomy and physiology electrophysiology |
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