title: [Binaural auditory deficit during pregnancy].
abstract: Neurological impairment during pregnancy is also commonly found in otorhinolaryngology. Cranial nerve palsy, e.g. of the facial nerve or changes in signal processing of the hearing system, are described. Apart from changes in electrolyte balance, these neurological alterations are attributed to hormone fluctuations. The spontaneous remission of the neurological problems after delivery is frequently reported. This case report presents a 34 year pregnant patient suffering from binaural sensorineural hearing loss and tinnitus in the third trimester. Three weeks after delivery there was a spontaneous remission and a measurable improvement of the audiological findings. Although treatment with cortisone and antibiotics remained without effect, a pharmacological treatment during pregnancy has to be carefully and individually coordinated. An interdisciplinary approach in diagnostic and therapeutic measures together with gynaecologists appears obligatory.
authors.affiliation: Klinik und Poliklinik für Hals-Nasen-Ohren-Kranke der Friedrich-Alexander-Universität Erlangen/Nürnberg, Erlangen. alessandro.bozzato@hno.imed.uni-erlangen.de
authors.forename: A
authors.initials: A
authors.lastname: Bozzato
authors.forename: F
authors.initials: F
authors.lastname: Gottwald
authors.forename: H
authors.initials: H
authors.lastname: Steinhart
authors.forename: J
authors.initials: J
authors.lastname: Zenk
mesh_terms: D000328:Adult; D002443:Ceftriaxone / Q000008:administration & dosage; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination; D005260:Female; D005500:Follow-Up Studies; D006312:Hearing Loss, Bilateral / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D011239:Prednisolone / Q000008:administration & dosage / Q000031:analogs & derivatives*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000209:etiology*; D011263:Pregnancy Trimester, Third; D011644:Puerperal Disorders / Q000175:diagnosis / Q000209:etiology; D012075:Remission, Spontaneous; D014012:Tinnitus / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology
chemical_list: D002443:Ceftriaxone; D011239:Prednisolone; C021322:prednisolone hemisuccinate