Table 1.

Identifiable causes of sudden sensorineural hearing loss

Infection44%
  Viral infection, for example, mumps, measles, herpes zoster
  Bacterial labyrinthitis secondary to chronic middle ear disease
  Meningitis
Ear disease17%
  Ménière’s disease
  Ear surgery
  Ototoxicity, for example, aminoglycosides
  Autoimmune disease, for example, autoimmune inner ear disease (AIED)
  Otosclerosis
Trauma15%
  Head injury (temporal bone fracture or cerebral trauma)
  Sudden loud noise exposure
  Barotrauma resulting in round window rupture, for example, from diving or flying
Neurological and vascular disease12%
  Cardiovascular disease
  Transient ischaemic attack
  Multiple sclerosis
Neoplastic8%
  Vestibular schwannoma
  Meningioma
Other4%