Cochleovestibulopathy as a Paraneoplastic Syndrome Linked to Breast Cancer: A Case Study of Two Patients and Review of Existing Literature - Takeaways - MDSpire

Cochleovestibulopathy as a Paraneoplastic Syndrome Linked to Breast Cancer: A Case Study of Two Patients and Review of Existing Literature

  • By

  • Liqin Yang

  • Xueqing Liu

  • Wenxia Li

  • Songming Tang

  • Yanan Hu

  • Ting Zhang

  • Xun Li

  • Wei Yue

  • Shujuan Tian

  • December 12, 2025

  • 0 min

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  • 1

    Paraneoplastic cochleovestibulopathy (PCVP) is a rare syndrome linked to various malignancies, including breast cancer, characterized by sudden hearing loss and vestibular dysfunction.

  • 2

    The two case studies presented involve Chinese women with PCVP associated with breast cancer, both experiencing sensorineural hearing loss and vertigo.

  • 3

    Despite treatment with steroids and immunotherapy, neither patient showed significant improvement in hearing, highlighting the challenges in managing PCVP.

  • 4

    Diagnostic tests revealed the presence of autoantibodies in one patient, while both cases confirmed breast cancer through imaging and histopathological examination.

  • 5

    The literature review identified 46 additional cases of PCVP, emphasizing the need for increased clinical awareness and understanding of this atypical paraneoplastic syndrome.

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