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[Multiple sclerosis and unilateral deafness].

D Cau, M Levistre, A Desprairies

    Archives Francaises De Pediatrie
    |August 1, 1983
    PubMed
    Summary
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    Unilateral hearing loss and vertigo can indicate multiple sclerosis (MS). Auditory evoked potentials help diagnose MS, even with unilateral symptoms, aiding in early detection.

    Area of Science:

    • Neurology
    • Neuro-otology

    Background:

    • Multiple sclerosis (MS) can present with diverse neurological symptoms.
    • Vestibular and auditory dysfunctions are recognized manifestations of MS.

    Observation:

    • A patient presented with unilateral hearing loss, vertigo, and ipsilateral trigeminal and facial nerve involvement.
    • Initial investigations including neuroradiology and cerebrospinal fluid (CSF) analysis were inconclusive for MS.
    • Auditory evoked potentials (AEPs) revealed unilateral abnormalities.

    Findings:

    • AEP abnormalities localized the lesion to the brainstem auditory pathway.
    • The findings suggest that unilateral hearing loss does not exclude a diagnosis of MS in patients with vertigo.
    • AEPs serve as a valuable diagnostic tool for MS.

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    Implications:

    • This case highlights the importance of considering MS in patients with vertigo and unilateral auditory symptoms.
    • Auditory evoked potentials can aid in the diagnosis of MS when other tests are negative.
    • Early diagnosis of MS is crucial for timely management and improved patient outcomes.