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Auditory function in early syphilis. A follow up study.

U Rosenhall, G B Löwhagen, G Roupe

    The Journal of Laryngology and Otology
    |June 1, 1984
    PubMed
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    Syphilis can affect hearing, causing auditory brainstem response (ABR) abnormalities and sensorineural hearing loss. Some auditory issues resolved after treatment, suggesting syphilis

    Area of Science:

    • Neurology
    • Otolaryngology
    • Infectious Diseases

    Background:

    • Syphilis, a sexually transmitted infection, can manifest with diverse neurological and systemic symptoms.
    • Auditory system involvement in syphilis, though less common, can lead to significant hearing impairment.

    Purpose of the Study:

    • To investigate the impact of syphilis on auditory function using auditory brainstem response (ABR) and pure tone audiometry.
    • To assess the reversibility of auditory abnormalities following syphilis treatment.

    Main Methods:

    • Twenty-six patients with secondary or early latent syphilis underwent ABR and pure tone audiometry.
    • Audiological assessments were performed before and after antibiotic treatment for syphilis.

    Main Results:

    Related Experiment Videos

    • Seven patients had pathological ABR findings; four normalized post-treatment, while three showed persistent abnormalities.
    • Thirteen patients presented with sensorineural hearing loss; two experienced improvement after treatment.
    • Reversible auditory lesions suggest potential syphilitic meningitis, while permanent ABR changes may indicate brainstem vascular involvement.

    Conclusions:

    • Syphilis can cause reversible and irreversible auditory system damage.
    • Treatment for syphilis may lead to partial or complete recovery of auditory function in some patients.
    • ABR and audiometry are valuable tools for diagnosing and monitoring auditory complications of syphilis.