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Vestibular symptoms in mumps deafness.

D Hydén, L M Odkvist, P Kylén

    Acta Oto-Laryngologica. Supplementum
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Mumps (epidemic parotitis) can cause severe, often permanent, unilateral hearing loss and vestibular dysfunction. While vertigo is common, it doesn't always correlate with lasting caloric impairment, and some cases without vertigo show vestibular damage.

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    Area of Science:

    • Otolaryngology
    • Infectious Diseases
    • Neurology

    Background:

    • Epidemic parotitis (mumps) is associated with hearing loss in up to 4% of adult cases.
    • This hearing impairment is often severe, unilateral, and potentially reversible.
    • Vertigo and impaired caloric reactions are also reported complications of mumps.

    Purpose of the Study:

    • To investigate the degree of permanent lesions in unilateral hearing impairment following mumps.
    • To determine the correlation between vertigo, caloric response, and hearing loss severity in mumps patients.
    • To explore potential diagnostic challenges posed by vestibular damage in mumps.

    Main Methods:

    • Audiometry and electronystagmography were used to assess 20 cases of unilateral hearing impairment due to mumps.

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  • Patients' history of vertigo during mumps illness was recorded.
  • Caloric response tests were performed to evaluate vestibular function.

    • Main Results:

    • Nine patients reported vertigo during their mumps illness; their caloric responses varied (normal, impaired, absent).
    • No definitive correlation was found between the presence of vertigo and permanent caloric impairment.
    • Five patients without vertigo exhibited impaired or absent caloric responsiveness, suggesting subclinical vestibular damage.

    Conclusions:

    • Mumps frequently causes vestibular damage, which may manifest as hearing impairment and/or vertigo.
    • Acute vertigo in childhood mumps cases can be easily overlooked, potentially masking underlying vestibular dysfunction.
    • While hearing and vestibular function can sometimes recover, permanent lesions are possible, and diagnostic correlations require careful consideration.