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October 1988

Severe Sensorineural Hearing Loss Caused by Lightning: A Temporal Bone Case Report

Arch Otolaryngol Head Neck Surg. 1988;114(10):1184-1187. doi:10.1001/archotol.1988.01860220118037

• To our knowledge, this article represents the second temporal bone case report in the literature of profound bilateral sensorineural deafness resulting from a lightning strike to the neck. Initial survival permitted antemortem audiologic testing, the results of which suggested severe cochlear abnormalities. Both temporal bones showed widespread inner-ear changes with absent organs of Corti, rupture and collapse of Reissner's membrane, strial degeneration, and a decreased spiral ganglion cell population. The occurrence of inner-ear trauma with an intact tympanic membrane and normal middle-ear structures suggests that a mechanism other than blast injury was responsible for the pathologic changes in this case.

(Arch Otolaryngol Head Neck Surg 1988;114:1184-1187)