Hearing disturbances in neurologist clinical practice

1 Klinika Neurologii i Udarów Mózgu, Uniwersytet Medyczny w Łodzi
2 Klinika Neurochirurgii i Chirurgii Nerwów Obwodowych, Uniwersytet Medyczny w Łodzi
3 Klinika Pediatrii, Onkologii, Hematologii i Diabetologii, Uniwersytet Medyczny w Łodzi
Adres do korespondencji: Klinika Neurologii i Udarów Mózgu, Uniwersytet Medyczny w Łodzi, USK im. WAM,
ul. Żeromskiego 113, 90-549 Łódź, e-mail: magda-kacperska@o2.pl
Praca finansowana z grantów UM w Łodzi: nr 502-03/5-062-01/502-54-110 oraz 502-03/5-062-01/502-54-111
Pierwszy i drugi autor zgłaszają równoważny wkład pracy w przygotowanie artykułu

AKTUALN NEUROL 2014, 14 (1), p. 61–69
DOI: 10.15557/AN.2014.0007
ABSTRACT

Hearing is one of the most important human senses closely associated with the organ of hearing and balance. Patients with sudden hearing loss sometimes report ear fullness, tinnitus or vertigo. Hearing disturbances is a very unpleasant sensation lowering the quality of life. Sudden hearing loss is mostly caused by otologic diseases but also disturbances of brain circulation, brain injury, viral (mumps, rubella, herpes zoster) and bacterial infections, bone diseases, bone tumours, 8th nerve tumours, genetic disorders, autoimmune diseases (e.g. multiple sclerosis), ototoxic medications and many others. Hearing disorders are generally divided into central and peripheral, the latter divided into conductive and perceptive. Deafness is a worrying symptom not only for the patient but also for a clinical neurologist. Diagnosis is based on the past history, physical examination, both otolaryngological and neurological, diagnostic investigations, audiological investigation, atrial excitability testing (caloric tests, electronystagmography) depending on clinical indications, neuroradiological investigations, brainstem auditory evoked potentials, blood tests and others, which enables instituting a proper treatment.

Keywords: hearing impairment, cerebrovascular disease, sudden sensorineural hearing loss, pontine angle tumours-brain, bone disease, infectious disease, multiple sclerosis, brain injury, barotrauma, genetic disease, Meniere’s disease, ototoxic drugs