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Cervical epidural steroid injection for refractory somatic tinnitus
Zachary L McCormick1, David R Walega
1Department of Physical Medicine and Rehabilitation, Rehabilitation Institute of Chicago/Northwestern University Feinberg School of Medicine, Chicago, Illinois, U.S.A.
Somatic tinnitus, often resistant to treatment, may improve with cervical epidural steroid injections. This case study explores a potential new therapeutic approach for this common auditory disorder.
Area of Science:
- Otolaryngology
- Neurology
- Pain Management
Background:
- Somatic tinnitus is a prevalent condition with limited effective treatment options.
- The pathophysiology of somatic tinnitus involves somatosensory system contributions.
- Refractory cases present significant clinical challenges.
Observation:
- A 61-year-old male patient presented with refractory somatic tinnitus.
- The tinnitus was temporally linked to a history of bacterial otitis media.
- Conventional treatments for his tinnitus had proven ineffective.
Findings:
- Cervical epidural injections of long-acting corticosteroids were administered.
- The patient experienced successful resolution of his auditory symptoms.
- This suggests a potential efficacy of neuraxial steroid intervention.
Implications:
- Neuraxial steroid injections may offer a novel treatment for somatic tinnitus.
- Understanding the mechanism of somatic tinnitus can guide therapeutic strategies.
- Further research is warranted to validate this treatment approach.
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