Evidence map›Paper›PMID 30410992›Full record

ArticleLaryngoscope investigative otolaryngology2018

The association between auditory nerve neurovascular conflict and sudden unilateral sensorineural hearing loss.

Omer J Ungar, Adi Brenner-Ullman, Oren Cavel, Yahav Oron, Oshri Wasserzug, Ophir Handzel

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Neurovascular conflict and sudden unilateral sensorineural hearing loss: coincidence or coexistence?European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Pooled it
  3. Neurovascular compression and vestibular compromises in idiopathic sudden sensorineural hearing loss.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Omer J UngarDepartments of Otolaryngology Head Neck and Maxillofacial Surgery.ORCID https://orcid.org/0000-0002-5904-1291
Adi Brenner-UllmanDepartment of Radiology, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine Tel-Aviv University Tel-Aviv Israel.
Oren CavelDepartments of Otolaryngology Head Neck and Maxillofacial Surgery.
Yahav OronDepartments of Otolaryngology Head Neck and Maxillofacial Surgery.
Oshri WasserzugDepartments of Otolaryngology Head Neck and Maxillofacial Surgery.
Ophir HandzelDepartments of Otolaryngology Head Neck and Maxillofacial Surgery.ORCID https://orcid.org/0000-0002-6905-3034

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

hypothesisThere may be an association between a neurovascular conflict (NVC) of the auditory nerve and unilateral sudden sensorineural hearing loss (SSNHL).

backgroundCompression of cranial nerves by vascular structures can lead to significant symptomatology that may require surgical decompression. Notable examples are trigeminal neuralgia and hemifacial spasm. Magnetic resonance imaging (MRI) is part of the workup for SSNHL, and it may depict an NVC of the auditory nerve. Here we look into the association between this NVC and unilateral SSNHL.

methodsA retrospective analysis was performed on all consecutive patients with unilateral SSNHL who underwent an MRI scan in our medical center. The data collected included age, gender, side and severity of hearing loss, and accompanying complaints. Each MRI scan was reviewed by a neuroradiologist who was unaware of hearing loss laterality. The presence, side, extent, and location of a potential NVC involving the auditory nerve were determined, and a correlation between radiological findings and auditory parameters was sought.

resultsFifty-four patients (male-to-female ratio 26:28, age range 25-80 years) were enrolled into the study. Fourteen of them (25.9%) had normal MRI findings. Twenty-six patients had a unilateral NVC, and the pathology was ipsilateral to the side of hearing loss in only 12 of them (46.2%). Fourteen (25.9%) patients had MRI findings of bilateral NVCs. There was no significant correlation between the side of the SSNHL and any radiological findings (

conclusionThe data presented herein support the conclusion that there is no association between CN8 NVC and unilateral SSNHL. LEVEL OF EVIDENCE: 2b.

Indexed as

anterior inferior cerebellar arteryNeurovascular conflictsudden sensorineural hearing loss

Identifiers

PMID30410992
PMCPMC6209614

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.