Abrupt (sharp cut) type sensorineural hearing loss--a human temporal bone study--

Histopathology of a case of bilateral sensorineural hearing loss of abrupt (sharp cut) type is reported. While there was a 45 dB gap in threshold between 1,000 Hz and 2,000 Hz bilaterally, the patient had a good hearing at 1,000 Hz and lower frequencies. The patient was suffering from Takayasu's arteritis. Major histopathological findings were as follows: Almost complete loss of the outer hair cells from the basal end to 12 mm area in the left cochlea (length: 30.5 mm) and 13 mm in the right (length: 31.5 mm). The inner hair cell of the same region was also missing in the left cochlea, and to a lesser degree in the right. There was a clear separation between the normal and the pathological organ of Corti. Marked loss of the cochlear neuron was noted in the same region. Blood vessels within the cochlea and the internal auditory meatus were normal. Bilateral abrupt (sharp cut) type sensorineural hearing loss with unknown etiology is a group of inner ear disease due to abiotrophy of the organ of Corti and cochlear neuron. Disposition or hereditary factor possibly plays an important role in the development of hearing loss.