Disacusia neurossensorial imunomediada

Penido, Norma de Oliveira; Aumond, Mariana Dantas; Leonhardt, Fernando Danelon; Abreu, Carlos Eduardo Cesário de; Toledo, Ronaldo Nunes

doi:10.1590/s0034-72992002000500020

Cited by 2 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In rare cases, it presents as unilateral sudden SNHL and manifests only in the contralateral ear after a variable number of days up to years. 13 17 The diagnosis is eminently based on the clinical picture.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sudden Sensorioneural Hearing Loss and Autoimmune Systemic Diseases

Rossini

Penido

Munhoz

et al. 2016

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction Several authors have demonstrated the relationship between sudden sensorineural hearing loss (SNHL) and systemic autoimmune diseases (SAD). Immune-mediated SNHL can rarely present as unilateral sudden SNHL and manifests itself in the contralateral ear only after years. It presents clinical relevance for being one of the few SNHL that may be reversible given that early and appropriate treatment is applied. Objective The objective of this study is to describe the clinical presentations and audiological findings from patients with idiopathic sudden SNHL and SAD associated with a probable diagnosis of immune-mediated SNHL. Furthermore, we strive to estimate the prevalence of SAD in patients with sudden SNHL. Methods This is an observational retrospective cohort. We have selected and studied patients with SAD. Revision of available literature on scientific repositories. Results We evaluated 339 patients with sudden SNHL. Among them, 13 (3.83%) patients suffered from SAD. Three patients had bilateral involvement, a total of 16 ears. We evaluate and describe various clinical, epidemiological, and audiological aspects of this sample. Conclusion In our sample of patients with sudden SNHL, the prevalence of SAD was found relevant. The majority had tinnitus and dizziness concomitant hearing loss, unilateral involvement and had experienced profound hearing loss at the time of the installation. In spite of instituted treatment, most cases showed no improvement in audiometric thresholds. Apparently, patients with sudden SNHL and SAD have a more severe initial impairment, higher percentage of bilateral, lower response to treatment, and worse prognosis than patients with sudden SNHL of unknown etiology.

show abstract

Section: Introductionmentioning

confidence: 99%

“…The clinical importance of immune-mediated SNHL largely lies in the fact that it is one of the few sensorineural hearing losses that may be reversible with early and adequate treatment. 13 17…”

Section: Introductionmentioning

confidence: 99%