Audiological evaluation following snake bite - Case Report

S. Govindaraj, D. Arivazhagan, A Jinsha, M. S. Lakshmi
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Abstract

We are reporting a case with hearing loss following krait snake bite. Case was diagnosed as snake bite and treated in the emergency department and after stabilising she was referred to the oto-rhinolaryngology department for evaluation of sudden hearing loss. Audiological evaluation was carried out to identify degree, type of hearing loss and site of lesion. Puretone audiometry showed bilateral moderate sensory neural hearing loss. The diagnosis was confirmed with Transient evokedotoacoustic emissions and Click evoked auditory brainstem response testing. From the above audiological tests it is evident that the snake bite victim has cochlear hearing loss. This could be due to the venom carried away from the wound by the lymphatics and then is circulated by the blood stream throughout the body.
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毒蛇咬伤后听力学评估-个案报告
我们正在报告一例因金环蛇咬伤而导致听力丧失的病例。病例被诊断为蛇咬伤,在急诊科治疗,病情稳定后,她被转到耳鼻咽喉科评估突发性听力损失。进行听力学评估,以确定听力损失的程度、类型和损伤部位。纯耳酮测听显示双侧中度感觉神经性听力损失。通过瞬态诱发声发射和点击诱发听觉脑干反应测试证实了诊断。从上述听力学测试可以明显看出,被蛇咬伤的受害者有耳蜗听力损失。这可能是由于毒液被淋巴从伤口带走,然后通过血液在全身循环。
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