Table 1.

Nonidiopathic Causes of Sudden Sensorineural Hearing Loss

CausesDiagnosis
InfectionsHerpesviruses, influenza, measles, mumps, rubella, human immunodeficiency virus, Lyme disease, meningitis
Ototoxic drugsAminoglycosides, vancomycin, erythromycin, loop diuretics, antimalarials, cisplatin, sildenafil, cocaine
NeoplasmsVestibular schwannoma, meningioma, intracranial metastases, lymphoma, leukemia, plasma cell dyscrasia
TraumaHead injury, barotraumas, noise exposure
Autoimmune diseaseCogan's syndrome, susac syndrome, systemic lupus erythematosus; rheumatoid arthritis, sjögren's syndrome, vasculitides
Vascular disorderVertebrobasilar cerebrovascular accident or transient ischemic attack, cerebellar infarction, inner ear hemorrhage
Various causesMeniere’s disease, otosclerosis, Paget’s disease, multiple sclerosis, sarcoidosis, hypothyroidism