TY - JOUR
T1 - Sudden hearing loss and multiple cranial nerve palsies in autoimmune disease
T2 - A case report
AU - Narayan, Manisha
AU - Sreedharan, Suja
AU - Pai, Rohit
AU - Shenoy, Sajjan
N1 - Publisher Copyright:
© 2021 Mashhad University of Medical Sciences. All rights reserved.
PY - 2021/1
Y1 - 2021/1
N2 - 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.
AB - 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.
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U2 - 10.22038/ijorl.2020.47096.2608
DO - 10.22038/ijorl.2020.47096.2608
M3 - Article
AN - SCOPUS:85107026998
SN - 2251-7251
VL - 33
SP - 45
EP - 48
JO - Iranian Journal of Otorhinolaryngology
JF - Iranian Journal of Otorhinolaryngology
IS - 1
ER -