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Sudden Hearing Loss and Multiple Cranial Nerve Palsies in Autoimmune disease: A Case Report
INTRODUCTION: The relationship between autoimmune disease and sensorineural loss is well documented in literature. Immune mediated sudden hearing loss is asymmetric, bilateral and rapidly progressive but responds well to steroid therapy. However association of cranial nerve neuropathies with sudden...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mashhad University of Medical Sciences
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7897438/ https://www.ncbi.nlm.nih.gov/pubmed/33654690 http://dx.doi.org/10.22038/ijorl.2020.47096.2608 |
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author | Narayan, Manisha Sreedharan, Suja Pai, Rohit Shenoy, Sajjan |
author_facet | Narayan, Manisha Sreedharan, Suja Pai, Rohit Shenoy, Sajjan |
author_sort | Narayan, Manisha |
collection | PubMed |
description | INTRODUCTION: The relationship between autoimmune disease and sensorineural loss is well documented in literature. Immune mediated sudden hearing loss is asymmetric, bilateral and rapidly progressive but responds well to steroid therapy. However association of cranial nerve neuropathies with sudden hearing loss is rare. CASE REPORT: A 41 year old female presented with sudden mixed hearing loss and developed multiple cranial nerve palsies within a month. Blood and Cerebrospinal fluid analysis revealed an undiagnosed rheumatoid arthritis. She responded well to definitive therapy with cyclophosphamide and azathioprine. CONCLUSION: If sudden hearing loss is associated with cranial neuropathy, an autoimmune work-up is highly recommended. |
format | Online Article Text |
id | pubmed-7897438 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Mashhad University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-78974382021-03-01 Sudden Hearing Loss and Multiple Cranial Nerve Palsies in Autoimmune disease: A Case Report Narayan, Manisha Sreedharan, Suja Pai, Rohit Shenoy, Sajjan Iran J Otorhinolaryngol Case Report INTRODUCTION: The relationship between autoimmune disease and sensorineural loss is well documented in literature. Immune mediated sudden hearing loss is asymmetric, bilateral and rapidly progressive but responds well to steroid therapy. However association of cranial nerve neuropathies with sudden hearing loss is rare. CASE REPORT: A 41 year old female presented with sudden mixed hearing loss and developed multiple cranial nerve palsies within a month. Blood and Cerebrospinal fluid analysis revealed an undiagnosed rheumatoid arthritis. She responded well to definitive therapy with cyclophosphamide and azathioprine. CONCLUSION: If sudden hearing loss is associated with cranial neuropathy, an autoimmune work-up is highly recommended. Mashhad University of Medical Sciences 2021-01 /pmc/articles/PMC7897438/ /pubmed/33654690 http://dx.doi.org/10.22038/ijorl.2020.47096.2608 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Narayan, Manisha Sreedharan, Suja Pai, Rohit Shenoy, Sajjan Sudden Hearing Loss and Multiple Cranial Nerve Palsies in Autoimmune disease: A Case Report |
title | Sudden Hearing Loss and Multiple Cranial Nerve Palsies in Autoimmune disease: A Case Report |
title_full | Sudden Hearing Loss and Multiple Cranial Nerve Palsies in Autoimmune disease: A Case Report |
title_fullStr | Sudden Hearing Loss and Multiple Cranial Nerve Palsies in Autoimmune disease: A Case Report |
title_full_unstemmed | Sudden Hearing Loss and Multiple Cranial Nerve Palsies in Autoimmune disease: A Case Report |
title_short | Sudden Hearing Loss and Multiple Cranial Nerve Palsies in Autoimmune disease: A Case Report |
title_sort | sudden hearing loss and multiple cranial nerve palsies in autoimmune disease: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7897438/ https://www.ncbi.nlm.nih.gov/pubmed/33654690 http://dx.doi.org/10.22038/ijorl.2020.47096.2608 |
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