Management of Sudden Sensorineural Hearing Loss in Multiple Sclerosis: A Comprehensive Case Report of a Patient with Bilateral Loss and Literature Review

被引:0
|
作者
Kim, Ikhee [1 ,2 ]
Kim, Hantai [1 ,3 ]
机构
[1] Konyang Univ, Coll Med, Dept Otorhinolaryngol Head & Neck Surg, Daejeon 35365, South Korea
[2] Konyang Univ, Grad Sch, Dept Med, Daejeon 35365, South Korea
[3] Konyang Univ, Myunggok Med Res Inst, Daejeon 35365, South Korea
来源
LIFE-BASEL | 2024年 / 14卷 / 01期
关键词
sudden sensorineural hearing loss; multiple sclerosis; bilateral hearing loss; EVOKED MYOGENIC POTENTIALS; BRAIN-STEM INVOLVEMENT; COGANS-SYNDROME; VEMP; DEAFNESS;
D O I
10.3390/life14010083
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
In multiple sclerosis (MS), the occurrence of sudden sensorineural hearing loss (SSNHL) is considered rare, with reported cases predominantly being unilateral. Bilateral cases are even rarer. Here, we report a case of bilateral SSNHL in a 20-year-old male diagnosed with MS. The patient, undergoing corticosteroid therapy for the management of MS, additionally received an intratympanic dexamethasone injection; however, it could not achieve significant improvement. Subsequently, the systemic dosage was increased for one week, resulting in substantial hearing improvement in both ears after three months. A review of MS-related SSNHL cases from 1987 to 2022 revealed 39 ears in the literature, with only five ears showing no hearing recovery. A remarkable 87.2% exhibited restored hearing, presenting a more favorable prognosis compared with idiopathic SSNHL. Although there were slight variations in administration methods and duration, all documented treatment approaches involve systemic corticosteroids. In some instances, SSNHL manifested as the initial symptom of MS. When SSNHL occurs in MS, auditory brainstem response (ABR) tests may reveal prolonged abnormalities, making ABR testing effective in cases where MS is suspected following SSNHL. In conclusion, the treatment of MS-related SSNHL appears appropriate with systemic corticosteroids, showing a significantly superior prognosis compared with idiopathic SSNHL.
引用
收藏
页数:9
相关论文
共 50 条
  • [21] Hereditary bilateral sudden sensorineural hearing loss
    Varga, L.
    Jovankovicova, A.
    Huckova, M.
    Demesova, L.
    Gasperikova, D.
    Sebova, I
    Profant, M.
    BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY, 2019, 120 (09): : 699 - 702
  • [22] Bilateral sudden hearing loss: a case report
    Tezer, M. S.
    Sahin, C.
    Tuncel, U.
    Titiz, A.
    Unal, A.
    TURKISH ARCHIVES OF OTORHINOLARYNGOLOGY, 2006, 44 (04) : 227 - 229
  • [23] Management of sudden sensorineural hearing loss
    Metrailer, Aaron M.
    Babu, Seilesh C.
    CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2016, 24 (05): : 403 - 406
  • [24] Simultaneous and sequential bilateral sudden sensorineural hearing loss: Are they different from unilateral sudden sensorineural hearing loss?
    Xenellis, John
    Nikolopoulos, Thomas P.
    Stavroulaki, Pelagia
    Marangoudakis, Pavlos
    Androulakis, Michael
    Tsangaroulakis, Michael
    Ferekidis, Eleftherios
    ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES, 2007, 69 (05): : 306 - 310
  • [27] Bilateral sudden sensorineural hearing loss in a patient with microangiopathic antiphospholipid syndrome
    Galicia-Lopez, Aida
    Carlos Anda-Garay, Juan
    Garcia de la Pena, Maximiliano
    REUMATOLOGIA CLINICA, 2016, 12 (03): : 175 - 177
  • [28] Persistent Positional Vertigo in a Patient with Sudden Sensorineural Hearing Loss: A Case Report
    Kim, Yong Won
    Shin, Jung Eun
    Lee, Yong-Sik
    Kim, Chang-Hee
    JOURNAL OF AUDIOLOGY AND OTOLOGY, 2015, 19 (02): : 104 - 107