Bilateral sudden sensorineural hearing loss: a rare case report

Libason Hosea
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Abstract

Sudden sensorineural hearing loss refers to the unexplained rapid onset of hearing loss occurring in a person who was apparently well. The exact cause of this nature of hearing loss is unknown in most cases, although it is linked to viral infections, vascular compromise or coagulation disorders in the blood, metabolic conditions such as diabetes mellitus, autoimmune conditions of the inner ear, endolymphatic hydrops such as in Meniere’s disease, or traumatic injury to the inner ear. A case of a 20-year-old male who was apparently healthy before presenting with the sudden onset of bilateral hearing loss, accompanied by tinnitus and dizziness was presented. There was no headache, loss of consciousness, or visual disturbance, and the patient had no history of head trauma. Otoscopy, anterior rhinoscopy, and neurological examination were apparently normal. The diagnosis of sudden sensorineural hearing loss was made, and the patient's pure tone audiometry results showed profound sensorineural hearing loss on the right side, and moderate sensorineural hearing loss on the left. The patient was treated with methylprednisolone and acyclovir. We have presented a rare case of bilateral sudden sensorineural hearing loss in a young adult male who had no risk factors. The cause of sudden sensorineural hearing loss in this patient was thought to be idiopathic.
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双侧突发性感音神经性听力损失:罕见病例报告
突发性感音神经性听力损失是指表面上听力良好的人,在不明原因的情况下迅速出现听力损失。虽然这种听力损失与病毒感染、血管损伤或血液凝固障碍、糖尿病等代谢性疾病、内耳自身免疫性疾病、梅尼埃病等内淋巴水肿或内耳外伤有关,但大多数病例的确切病因尚不清楚。本病例涉及一名 20 岁的男性,在突然出现双侧听力下降、耳鸣和头晕之前,他的身体显然是健康的。患者没有头痛、意识丧失或视觉障碍,也没有头部外伤史。耳镜检查、前鼻镜检查和神经系统检查均明显正常。患者的纯音测听结果显示,右侧为深度感音神经性听力损失,左侧为中度感音神经性听力损失。患者接受了甲泼尼龙和阿昔洛韦治疗。我们介绍了一例罕见的双侧突发性感音神经性听力损失病例,患者是一名年轻男性,没有任何危险因素。该患者突发性感音神经性听力损失的原因被认为是特发性的。
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