Labyrinthine concussion following gunshot injury: A case report.
Labyrinthine concussion due to a postauricular gunshot wound has not been well reported.



Retrospective chart review.



We describe an otherwise healthy 22-year-old male who received a gunshot wound to the left mastoid and subsequently reported hearing loss and rotational vertigo.



Audiometric testing demonstrated significant inverted scoop shaped sensorineural hearing loss. Vestibular diagnostic testing indicated a significant uncompensated left peripheral vestibulopathy. Imaging demonstrated no structural changes to the middle ear or labyrinth, suggesting that the auditory and vestibular losses noted on diagnostic examination were likely due to labyrinthine concussion.



Labyrinthine concussion may lead to reduced vestibular reflex pathway following gunshot wounds to the temporal bone. Clinical presentation is likely to vary significantly among cases.
a Department of Otolaryngology , Mayo Clinic Arizona , Scottsdale , USA and.
Jamie M
JM
Bogle
a Department of Otolaryngology , Mayo Clinic Arizona , Scottsdale , USA and.
David
D
Barrs
b Department of Audiology , Mayo Clinic Arizona , Scottsdale , USA.
Matthew
M
Wester
b Department of Audiology , Mayo Clinic Arizona , Scottsdale , USA.
Laurie
L
Davis
a Department of Otolaryngology , Mayo Clinic Arizona , Scottsdale , USA and.
Michael J
MJ
Cevette
D001301:Audiometry, Pure-Tone; D006309:Hearing; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008416:Mastoid / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014717:Vertigo / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014724:Vestibular Function Tests; D014722:Vestibule, Labyrinth / Q000000981:diagnostic imaging / Q000503:physiopathology*; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D055815:Young Adult
Medical audiology; anatomy and physiology; electrophysiology; vestibular