PT - JOURNAL ARTICLE AU - R E Whitehead AU - C B MacDonald AU - E R Melhem AU - L McMahon TI - Spontaneous labyrinthine hemorrhage in sickle cell disease. DP - 1998 Sep 01 TA - American Journal of Neuroradiology PG - 1437--1440 VI - 19 IP - 8 4099 - http://www.ajnr.org/content/19/8/1437.short 4100 - http://www.ajnr.org/content/19/8/1437.full SO - Am. J. Neuroradiol.1998 Sep 01; 19 AB - We report the clinical and MR imaging findings in two African-American patients with manifestations of sickle cell disease affecting the inner ear. Both suffered sudden-onset sensorineural hearing loss and vestibular symptoms, and both had high labyrinthine signal on T1-weighted MR images attributed to labyrinthine hemorrhage. Follow-up studies of the first patient revealed a decrease in abnormal vestibular signal. Careful attention to the labyrinth on T1-weighted MR images can reveal vestibulocochlear clinical findings in sickle cell patients, with important implications for management and prognosis.