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Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
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Sensorineural hearing loss associated with a factitious disorder.
Ayako Maruyama1, Yoshihiro Noguchi, Taku Ito
1Department of Otorhinolaryngology, Tokyo Medical and Dental University Graduate School, Tokyo.
Ear, Nose, & Throat Journal
|December 17, 2015
Summary
This case study details a 24-year-old woman diagnosed with factitious disorder who intentionally caused sensorineural hearing loss (SNHL). She feigned symptoms for two years, inducing SNHL through noise and aspirin exposure.
Area of Science:
- Psychiatry
- Otolaryngology
Background:
- Factitious disorders involve intentional feigning of physical or psychological symptoms.
- Munchausen syndrome is a severe, chronic factitious disorder characterized by falsified medical histories.
- Sensorineural hearing loss (SNHL) is a common form of hearing impairment.
Observation:
- A 24-year-old woman presented with a two-year history of self-induced SNHL.
- She confessed to fabricating her hearing loss symptoms.
- The patient intentionally caused SNHL by exposure to excessive noise and high doses of aspirin.
Findings:
- The patient was diagnosed with factitious disorder.
- This case represents the first reported instance linking factitious disorder with self-induced SNHL.
- The deliberate induction of SNHL through specific methods was confirmed.
Implications:
- Highlights the importance of considering factitious disorders in unexplained SNHL.
- Suggests novel methods of self-harm associated with factitious disorders.
- Emphasizes the need for comprehensive psychiatric evaluation in complex otolaryngological cases.
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