Sudden deafness as the sole presenting symptom of diabetes mellitus – a case report

Abstract

This paper reports an undiagnosed diabetic presenting to an otolaryngologist with sudden deafness of six days duration as the only symptom. Appropriate investigative and treatment measures resulted in recovery of hearing.

Effect of treatment with Ginkgo biloba extract EGb 761 (oral) on unilateral idiopathic sudden hearing loss in a prospective randomized double-blind study of 106 outpatients

“…potentially damaging [33]) diagnostic tests are completed to rule out specific causes [8,41,47], and also in order not to jeopardize the relationship with the patient [33]; 2. The need to avoid further stress for ISSHL patients, who tend to lack stress-coping skills [26] and may be mostly in need of a correction of conditions such as hypertension [33], diabetes [35] and hyperlipidaemia [44]; 3. The ethical need for a protocol approved by an institutional review board before experimental treatment can be administered and the legal risk that patients will tend to seek compensation [28] if their high expectations are not met.…”

Reducing a Barrier to Diabetes Education

“…4,16 There have been several case studies linking sudden hearing loss to type 1 and type 2 diabetes both as the presenting symptom and as an isolated complication. [17][18][19][20][21][22] The results of several studies suggest that adults with diabetes have almost twice the risk of hearing loss compared with adults without diabetes, implying that hearing loss may be an underrecognized complication of diabetes. 1,23,24 In a recent cross-sectional investigation of more than 5000 NHANES participants who underwent audiometric testing from 1999 to 2004, participants with self-reported diabetes had significantly greater odds of having hearing loss across all frequencies and at all levels of severity (odds ratio [OR], 1.82 [95% confidence interval (CI), 1.27, 2.60] for low or mid-frequency; 2.16 [1.47, 3.18] for high frequency).…”

Vasodilators and vasoactive substances for idiopathic sudden sensorineural hearing loss

“…Buerger's disease, polyarteritis nodosa, temporal arteritis and sickle cell disease have also been associated with SSHL (Kirikae 1962;Jenkins 1981;Wolfovitz 1987;O'Keefe 1991). Systemic diseases associated with SSHL include lupus erythematosus, sarcoidosis, diabetes mellitus, rheumatoid arthritis and many others (Bowman 1986;Souliere 1991;Ravi 1996;Kremer 1975). Neurologic conditions known to be associated with SSHL include meningitis, multiple sclerosis, carcinomatous encephalopathy and migraine ( Franklin 1989;McGill 1976;Viirre 1996).…”