Acute tinnitus and hearing loss as the initial symptom of multiple sclerosis in a child

Rodriguez-Casero, M. Victoria; Mandelstam, Simone; Kornberg, Andrew J.; Berkowitz, Robert G.

doi:10.1016/j.ijporl.2004.08.006

Cited by 21 publications

(10 citation statements)

References 14 publications

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“…Tinnitus of this type is assumed to be caused by or associated with damage to the auditory system (Dobie, 2001; Roberts, 2011), that is, “sensorineural” tinnitus or tinnitus with a neurophysiologic origin. The histopathologies or cellular changes that presumably give rise to subjective tinnitus can exist anywhere between the cochlea and auditory cortex, although the majority of cases are triggered by or associated with cochlear damage (Espir et al, 1997; Hazell, 1998; Rodriguez-Casero et al, 2005). Tinnitus is sometimes only heard when in quiet environments; however, in some cases, tinnitus is perceived constantly and can become very bothersome, interfering with concentration, sleep, and daily activities.…”

Section: Introductionmentioning

confidence: 99%

Underlying Mechanisms of Tinnitus: Review and Clinical Implications

et al. 2014

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Background The study of tinnitus mechanisms has increased tenfold in the last decade. The common denominator for all of these studies is the goal of elucidating the underlying neural mechanisms of tinnitus with the ultimate purpose of finding a cure. While these basic science findings may not be immediately applicable to the clinician who works directly with patients to assist them in managing their reactions to tinnitus, a clear understanding of these findings is needed to develop the most effective procedures for alleviating tinnitus. Purpose The goal of this review is to provide audiologists and other health-care professionals with a basic understanding of the neurophysiological changes in the auditory system likely to be responsible for tinnitus. Results It is increasingly clear that tinnitus is a pathology involving neuroplastic changes in central auditory structures that take place when the brain is deprived of its normal input by pathology in the cochlea. Cochlear pathology is not always expressed in the audiogram but may be detected by more sensitive measures. Neural changes can occur at the level of synapses between inner hair cells and the auditory nerve and within multiple levels of the central auditory pathway. Long-term maintenance of tinnitus is likely a function of a complex network of structures involving central auditory and nonauditory systems. Conclusions Patients often have expectations that a treatment exists to cure their tinnitus. They should be made aware that research is increasing to discover such a cure and that their reactions to tinnitus can be mitigated through the use of evidence-based behavioral interventions.

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Section: Introductionmentioning

confidence: 99%

Underlying Mechanisms of Tinnitus: Review and Clinical Implications

et al. 2014

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“…2,4,13 In our patient no brainstem demyelinating lesion was detected, but brain MRI was performed after a month of SSNHL initiation and after intratympanic dexamethasone administration. There is a discrepancy here, which has been discussed by other authors.…”

Section: Discussionmentioning

confidence: 63%

Monosymptomatic Clinically Isolated Syndrome With Sudden Sensorineural Hearing Loss

Anagnostouli

Sotirchos²,

Zalonis³

et al. 2012

The Neurologist

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“…Although the reported prevalence of sudden deafness in MS patients varies in the literature, most studies claim it to be rare or of low prevalence, i.e. from 4 to 10% [Ben-Zacharia, 2011;de Seze et al, 2001;Hellmann et al, 2011;Oh et al, 2008;Peyvandi et al, 2010;Rodriguez-Casero et al, 2005;Zaffaroni et al, 2001]. In an analysis of 400 records, de Seze et al [2001] identified 14 complaints of sudden deafness.…”

Section: Discussionmentioning

confidence: 99%

“…Sudden, transitory and permanent deafness are considered rare manifestations [Ben-Zacharia, 2011;de Seze et al, 2001;Hellmann et al, 2011;Oh et al, 2008;Peyvandi et al, 2010;Rodriguez-Casero et al, 2005;Zaffaroni et al, 2001]. Although always described as sensorineural, the involvement of central auditory pathways occurs to different degrees, from slight to extensive losses, with a variable pattern of affected frequencies on audiometry [Cadoni et al, 2006;Oh et al, 2008;Prakash et al, 2006;Rodriguez-Casero et al, 2005;Tu and Young, 2004].…”

Section: Introductionmentioning

confidence: 99%

Deafness in Patients with Multiple Sclerosis

Leite

Melo

et al. 2014

Audiol Neurotol

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Multiple sclerosis (MS) is a demyelinating disease and is considered the most debilitating neurological disorder among young adults. Sudden deafness has been reported in MS patients. This article describes cases of sudden deafness related to acute bouts in MS patients. A survey was conducted using 405 records of MS patients attended to at a reference center in the city of Rio de Janeiro between 2011 and 2012 to identify cases of sudden deafness. Seven patients were identified, 6 with a relapsing-remitting course and 1 with progressive disease at onset. Five patients had unilateral deafness and 2 bilateral. The recovery was complete in 4 and partial in 1, and there was no recovery in 2 patients. It was not possible to establish a topographical correlation between deafness and brainstem lesions. Audiometric examinations revealed severe hearing loss during the bout and recovery of hearing in 5 cases after remission.

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Acute tinnitus and hearing loss as the initial symptom of multiple sclerosis in a child

Cited by 21 publications

References 14 publications

Underlying Mechanisms of Tinnitus: Review and Clinical Implications

Underlying Mechanisms of Tinnitus: Review and Clinical Implications

Monosymptomatic Clinically Isolated Syndrome With Sudden Sensorineural Hearing Loss

Deafness in Patients with Multiple Sclerosis

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