Kang, K. T.K. T.KangYI-HO YOUNG2023-02-172023-02-172008-02-0100222151https://scholars.lib.ntu.edu.tw/handle/123456789/628347Objective: Despite multiple systemic manifestations, sudden sensorineural hearing loss in a patient with antiphospholipid syndrome is rarely reported. Patient: A 46-year-old man with primary antiphospholipid syndrome had a sudden onset of hearing loss and tinnitus in the right ear in December 2005, because he discontinued use of warfarin and acetylsalicylic acid for a few days. Results: Audiometry revealed saucer-type sensorineural hearing loss with a pure tone average of 73 dB in the right ear, and flat-type hearing loss with a pure tone average of 25 dB in the left ear. Electronystagmography displayed multiple central signs and bilateral canal paresis, while a vestibular evoked myogenic potential test revealed bilateral delayed responses. After admission, the patient was re-treated with warfarin and acetylsalicylic acid. Follow-up audiometry showed recovery of right-sided hearing, with a pure tone average of 12 dB, three days after presentation. Conclusion: Consensus exists on the effectiveness of anticoagulant agents in aiding a favourable outcome of sudden sensorineural hearing loss in patients with antiphospholipid syndrome. © 2007 JLO (1984) Limited.enAntiphospholipid Syndrome | Sensorineural Deafness | Warfarinjournal article10.1017/S0022215107007736174198962-s2.0-41449098625WOS:000253435000019https://api.elsevier.com/content/abstract/scopus_id/41449098625