Cochlear hemorrhage is a rare event that results in permanent sensorineural hearing loss. Most often, this injury is secondary to a traumatic event, though blood dyscrasias have also been implicated. We present a case of a 34 year-old otherwise healthy female who suffered what appears to be a spontaneous cochlear hemorrhage, resulting in significant hearing loss. No trauma preceded the event. She had no known underlying coagulopathies or hypercoagulation disorder. Laboratory studies since the event have been unrevealing. This case demonstrates the possibility of this unfortunate event occurring spontaneously.