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Updated: Jul 1, 2025
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Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
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Sudden hearing loss secondary to syphilis
Minerva Rodríguez-Martín1, Elena Cantón-Benito2, José Manuel Méndez-Legaza2
1Department of Otolaryngology, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain.
American Journal of Otolaryngology
|March 2, 2024
Summary
Routine syphilis screening in sudden hearing loss (SHL) patients is recommended for those at high risk or with atypical symptoms. Early detection and treatment of otosyphilis can lead to hearing improvement.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Neurology
Background:
- Syphilis, caused by Treponema pallidum, is a rising sexually transmitted infection.
- Otosyphilis can manifest as sudden hearing loss (SHL).
Purpose of the Study:
- To evaluate the utility of routine syphilis serology in patients presenting with sudden hearing loss.
Main Methods:
- Prospective collection of SHL cases over 6 years.
- Syphilis screening, treatment, and outcome assessment for SHL patients.
Main Results:
- 2.8% of 71 SHL patients screened had positive syphilis antibodies.
- One patient with otosyphilis and suspected neurological disease experienced hearing normalization after treatment.
Conclusions:
- Syphilis screening is advisable for high-risk SHL patients or those with atypical presentations.
- Early diagnosis and treatment of otosyphilis can potentially restore hearing.
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