Inner Ear Involvement in Behcet's Disease

Brama, I.; Fainaru, M

doi:10.1001/archotol.1980.00790280023004

Cited by 68 publications

(47 citation statements)

References 4 publications

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“…1,2 Inner ear involvement in patients with Behçet's syndrome has been reported, but while extensive audiological studies have been performed, vestibular function has not been studied in detail. [7][8][9][10][11][12][13] We report the clinical and neuro-otological ndings in a series of 26 consecutive patients with Behçet's syndrome and the relationship of these ndings to other clinical manifestations.…”

Section: Introductionmentioning

confidence: 99%

Labyrinthine involvement in Behçet's syndrome

2001

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We report the neuro-otological ndings in 26 consecutive patients with de nite and probable Behçet's syndrome unselected for audiovestibular complaints. Auditory and/or vestibular abnormalities were found in 19 (73 per cent) patients, with auditory involvement in 14 (54 per cent) and vestibular in 10 (38.5 per cent) of patients. Peripheral involvement was more common than central involvement for both auditory and vestibular lesions. Bilateral cochlear hearing impairment was the most common audiological nding, whereas unilateral peripheral dysfunction was the prevailing vestibular abnormality. No correlation has been found between audiovestibular lesions and other organ lesions, disease duration or age or sex of the patients. Moreover, there was a lack of interdependence between cochlear and vestibular labyrinthine lesions. We conclude that a full neuro-otological assessment in patients under investigation for Behçet's syndrome may reveal labyrinth involvement in a substantial proportion of patients. In view of the absence of a speci c diagnostic test for Behçet's syndrome, audiovestibular lesions may provide further diagnostic support for this disorder.

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Section: Introductionmentioning

confidence: 99%

Labyrinthine involvement in Behçet's syndrome

2001

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“…Other authors 1,11 found the involvement of the inner ear as a late complication of Behçet's Syndrome (approximately one decade after the onset of the condition), vasculitis (primary pathological lesion of this disease) was considered the only responsible factor for labyrinth disorder. Detailed otology and vestibular examination revealed cochlea and vestibular apparatus abnormalities, in addition to results indicating that 62% of Behçet's Syndrome patients complain of auditory disorders and 37% of them present vertigo symptoms.…”

Section: Discussionmentioning

confidence: 99%

Rinossinusite em paciente com síndrome de Behçet

Alcântara

Júnior²,

Mocellin

et al. 2005

Rev. Bras. Otorrinolaringol.

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A condição conhecida como Síndrome de Behçet foi inicialmente descrita por H. Behçet, um dermatologista turco. O seu componente principal são lesões aftosas recorrentes em mucosa oral. Grupos como os asiáticos são mais propícios ao seu desenvolvimento. No continente americano, ela é relativamente rara. Além de lesões orais, os pacientes podem desenvolver ulcerações genitais, uveítes, vasculite pustular da pele, sinovites e meningoencefalites. O diagnóstico é baseado na pronunciação de critérios maiores e/ou menores internacionalmente propostos, e na combinação entre eles. O tratamento é desafiador, devendo dirigir-se ao principal órgão envolvido, exigindo terapias combinadas com freqüência. O quadro clínico do paciente deste caso não deixa dúvidas quanto ao diagnóstico da síndrome de Behçet. No presente trabalho, a vasculite é evidenciada pela ausência de sangramento ao manueseio de áreas potencialmente sangrantes. E a ela atribuiu-se tanto o desencadeamento quanto as complicações da rinossinusite (abscesso periorbitário), haja visto seus efeitos de má perfusão e drenagem no tecido em questão. A rinossinusite é uma manifestação potencial da síndrome de Behçet. Os profissionais médicos devem estar atentos à sua apresentação e prestar maiores cuidados para sua resolução, que é caracteristicamente difícil.

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“…Several reports have stated that there is inner ear involvement in Behfefs disease [3][4][5][6][7]. Brama and Fainaru [3] first reported inner ear involvement in 16 Behfet's disease patients showing hearing loss and vertigo.…”

Section: Case Reportmentioning

confidence: 99%

“…Brama and Fainaru [3] first reported inner ear involvement in 16 Behfet's disease patients showing hearing loss and vertigo. They pointed out that these symptoms were complications that occurred almost a decade after the initial manifesta tions.…”

Section: Case Reportmentioning

confidence: 99%

“…Neuro-otological examinations revealed that there is an inner ear lesion rather than a central nervous system disorder [3][4][5][6] in all but a few cases of neuro-Behfet's dis ease [7], In the previous reports, ECochG was performed in only 1 patient, and it showed recruitment in the inputoutput curve of the action potential [5], but no enlarged negative SP. The glycerol test has not been performed on any patients according to the literature.…”

Section: Case Reportmentioning

confidence: 99%

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A Case of Behçet’s Disease with Otologic Symptoms

Igarashi

Watanabe

Aso³

1994

ORL

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Behçet’s disease is generally known as an autoimmune disease. We report a case of Behçet’s disease who had fluctuating hearing loss, tinnitus and dizziness. A 37-year-old woman had bilateral hearing loss in low audiometric frequencies. Audiological and vestibular examinations revealed an inner ear lesion. The patient had an enlarged negative summation potential in the electrocochleogram and a positive glycerol test, which suggested endolymphatic hydrops. The pathological characteristic of Behçet’s disease is thought to be vasculitis. So this case suggests an association of autoimmune vasculitis with endolymphatic hydrops.

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Inner Ear Involvement in Behcet's Disease

Cited by 68 publications

References 4 publications

Labyrinthine involvement in Behçet's syndrome

Labyrinthine involvement in Behçet's syndrome

Rinossinusite em paciente com síndrome de Behçet

A Case of Behçet’s Disease with Otologic Symptoms

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