？Hipoacusia súbita?

clinical case of female patient without morbid background who consults due to sudden hearing loss symptoms. the audiometric and caloric tests were compatible with a cochleo vestibular paralysis and because there were no contraindications, oral steroids and antiviral, treatment was indicated. although the initial response was favorable, at the first month check up an audiometric deterioration was found. this led to further study achieving an etiological diagnosis. this case is presented to remind that there are other pathologies that can simulate an idiopathic sudden hearing loss, which should not be forgotten in the management of these patients.