title: Neuro-otologic manifestations of tuberculosis. "The great imitator".
abstract: OBJECTIVE
  To demonstrate the different neuro-otologic clinical presentations of tuberculosis.
  
  
  METHODS
  Retrospective clinical analysis.
  
  
  RESULTS
  83.3% of the cases of ear or central nervous system TB were without concomitant lung disease. 2 cases had primary infection in the central nervous system. The neuro-otologic manifestation was as follows: 85.7% sensorineural hearing loss; 42% polyneuropathy. 71.4% had granulation tissue. 2 had normal otoscopy. In 6 patients the histopathology and Ziehl Neelsen were confirmatory. One case was confirmed by the positive response to treatment with antituberculosis drugs.
  
  
  CONCLUSIONS
  Tuberculosis has a wide variety of neurotologic manifestations from chronic otitis media cadres to vestibular, audiological and neurological manifestations as well as a large variability in imaging studies.
authors.affiliation: Neuro-otologic Department, National Institute of neurology and Neurosurgery Manuel Velasco Suárez. Electronic address: Dra_diplan@yahoo.com.
authors.forename: Johanna Miguelina
authors.initials: JM
authors.lastname: Diplan Rubio
authors.affiliation: Neuro-otologic Department, National Institute of neurology and Neurosurgery Manuel Velasco Suárez. Electronic address: Vega.alarcon@me.com.
authors.forename: Alfredo Vega
authors.initials: AV
authors.lastname: Alarcón
authors.affiliation: Neuro-otologic Department, National Institute of neurology and Neurosurgery Manuel Velasco Suárez. Electronic address: maritepalma@hotmail.com.
authors.forename: Marité Palma
authors.initials: MP
authors.lastname: Díaz
authors.affiliation: Neuro-otologic Department, National Institute of neurology and Neurosurgery Manuel Velasco Suárez. Electronic address: valpooli@gmail.com.
authors.forename: Olivia
authors.initials: O
authors.lastname: Vales
authors.affiliation: Neuro-otologic Department, National Institute of neurology and Neurosurgery Manuel Velasco Suárez. Electronic address: ramhin@prodigy.net.mx.
authors.forename: Ramón
authors.initials: R
authors.lastname: Hinojosa
authors.affiliation: Neuro-otologic Department, National Institute of neurology and Neurosurgery Manuel Velasco Suárez. Electronic address: Chepina.morales.delangel@gmail.com.
authors.forename: Josefina Morales
authors.initials: JM
authors.lastname: Del Angel
authors.affiliation: Neuro-otologic Department, National Institute of neurology and Neurosurgery Manuel Velasco Suárez. Electronic address: dinaromat@gmail.com.
authors.forename: Dina
authors.initials: D
authors.lastname: Romero
authors.affiliation: Neuro-otologic Department, National Institute of neurology and Neurosurgery Manuel Velasco Suárez. Electronic address: yolandasan@aol.com.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Sánchez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D004427:Ear Diseases / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D020306:Tuberculosis, Central Nervous System / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000995:Antitubercular Agents