Research Article

Sensorineural Hearing Loss in Seropositive Neuromyelitis Optica Spectrum Disorder and Myelin Oligodendrocyte Glycoprotein Antibody-Associated Disorder

Table 1

Literature review of previous reports in NMOSD or MOGAD with hearing loss.

AuthorsAgeSexRaceAntibodyHL before (negative) or after (positive) onset (years)Previous neurological symptomsImmunosuppressive treatment prior to HLHL typeSimultaneous neurological symptoms with HLBrain MRI at HLTreatmentPrognosis

Jarius et al. [16]51MNAAQP4+2ON and LETMMMFUnilateral (left)NoneNo lesionsOral prednisoneFully recovered after 4 weeks
Kremer et al. [9]NANAOne Caucasian
Two non-Caucasians
One, AQP4+
Two, AQP4-
NANANANANANANAOne, not recovered
Two, completely recovered
Gratton et al. [17]54FNAAQP4+NANANABilateral, central SNHLT2 lesions near the cochlear nuclei, more prominent on the rightIV mPD, PEResolved
Takanashi et al. [20]40FJapaneseAQP4+0NoneUnilateral (right) retrocochlear-type SNHLDiplopia, upper hemianopsia, numbness in the hands and feet, and dysuriaT2 lesions in the optic chiasma, optic tract, hypothalamus, and left cerebral fornixIV mPDImproved
Tanaka and Tanaka [8]26FJapaneseAQP4+6NANANANANANAImproved
Jarius et al. [14]19MCaucasianMOG+0.17ON and myelitis$NANARecurrent ON, myelitis, disorientation, headache, and feverT2 lesions in the pons, basal ganglia, corpus callosum, periventricular, pulvinar thalami, rostral putamen, optic chiasm, optic tract, and leptomeningeal contrast enhancementIV mPDFully recovered
Bonnan and Cabre [18]53FCaribbeanAQP4+0.75ONNoUnilateral (right) SNHLArea postrema syndrome, tinnitus, and vertigoRight eighth cranial nerve and the adjacent meninges are enlarged and enhancedIV high-dose steroid, followed by mitoxantrone infusionHighly improved
Shaw et al. [23]54FCaucasianAQP4+9NANARight-sided low-to-mid-frequency moderate SNHL and mild low-frequency left-sided SNHL with 1-year intervalLeft-sided vestibular hypofunctionNo lesionsHigh-dose oral mPDLeft SNHL normalized and right SNHL showed unchanged
Tugizova et al. [15]54FJapanese-AmericanAQP4+NAArea postrema syndrome and LETMNoneBilateral, mild to moderate SNHL at 3000-8000 Hz in the right ear and at 6000-8000 Hz in the left earVertigo and tinnitusNAIV mPD, several months after SNHLFully recovered
26FCaucasianAQP4+-1ONNoneUnilateral (left) mild CHL at low frequencyBilateral tinnitusNAWorsening after RTXPersisted
45FHispanicMOG+NAONRTX, IVIG, PE, MMF, AZA, and steroidsUnilateral (right) mild SNHL at 1500-6000 HzTinnitusSymmetric enhancement of the bilateral distal internal auditory canals and cochleaOral prednisoneResolved

Three patients with NMOSD had hearing loss but unknown age and sex. $The first symptoms developed within 2 weeks after vaccination for diphtheria, tetanus, pertussis, polio, and influenza. AQP4: antiaquaporin-4 antibody; AZA: azathioprine; CHL: conduction hearing loss; F: female; HL: hearing loss; IV mPD: intravenous methylprednisolone; IVIg: intravenous immunoglobulin; LETM: longitudinal extensive transverse myelitis; M: male; MMF: mycophenolate mofetil; MOG: myelin oligodendrocyte glycoprotein; NA: not available; NMOSD: neuromyelitis optica spectrum disorder; ON: optic neuritis; PE: plasma exchange; RTX: rituximab; SNHL: sensorineural hearing loss.