[Value and status of neurologic, serologic, internal medicine and orthopedic studies in routine diagnosis of sudden deafness].
One hundred and eighteen patients with acute unilateral sensorineural hearing loss were examined. Diagnosis included a neurological, orthopedic, and internal medical examination. Serological tests were performed including influenza-, parainfluenza-, adenovirus-, RS-virus, enterovirus-, morbilli-, varicella- and cytomegalie-virus-KBR, also the serological tests for toxoplasmosis, rheuma, lues, mycosis, and Borrelia. The examinations allowed conclusions to be drawn about a possible etiology in five of the patients only: in one patient it was possible to detect an acute infection with morbilli virus; in two other patients, an acute lues infection was detected. In two other patients, neurological examinations showed symptoms of a brainstem disease. The authors' experience shows that the following examinations are useful in the diagnosis of acute unilateral sensorineural hearing loss: the recording of acoustically evoked brainstem potentials, an otoneurological examination, a neurological examination to detect a possible centrally located reason for the hearing loss, serological examinations for lues, toxoplasmosis, Borrelia, and the virus KBR if there is any suspicion of a previous virus infection. An orthopedic examination should be performed, if functional aspects, especially of the craniocervical segment are under consideration.
Wissen-Siegert
I
I
Univ. HNO-Klinik Mainz.
Welkoborsky
H J
HJ
D000328:Adult; D001927:Brain Diseases / Q000150:complications*; D002574:Cervical Vertebrae / Q000503:physiopathology; D003937:Diagnosis, Differential; D005260:Female; D034381:Hearing Loss / Q000209:etiology; D003639:Hearing Loss, Sudden / Q000209:etiology*; D006801:Humans; D007239:Infections / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D012017:Referral and Consultation; D012307:Risk Factors; D013122:Spinal Diseases / Q000150:complications*; D014777:Virus Diseases / Q000150:complications
Aussagekraft und Stellenwert neurologischer, serologischer, internistischer und orthopädischer Untersuchungen in der Routinediagnostik des Hörsturzes.