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Temporal arteritis and sensorineural hearing loss

R C Hausch1, T Harrington

  • 1Geisinger Medical Center, Department of Rheumatology, Danville, PA 17822, USA.

Seminars in Arthritis and Rheumatism
|January 1, 1999
PubMed
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Sensorineural hearing loss can precede or occur with temporal arteritis (giant cell arteritis). Early recognition and corticosteroid treatment can lead to hearing recovery in these rare cases.

Area of Science:

  • Neurology
  • Otolaryngology
  • Rheumatology

Background:

  • Temporal arteritis, also known as giant cell arteritis, is a systemic vasculitis.
  • Sensorineural hearing loss is an uncommon manifestation of temporal arteritis.

Observation:

  • A retrospective review identified four patients with both conditions.
  • Patients ranged from 59 to 76 years old, presenting with hearing loss and biopsy-confirmed temporal arteritis.

Findings:

  • Hearing loss preceded temporal arteritis diagnosis in three patients (2 days to 2 months).
  • One patient experienced concurrent hearing loss and systemic symptoms of temporal arteritis.
  • All patients treated with corticosteroids showed partial or full hearing recovery.

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Implications:

  • Sensorineural hearing loss may be an early indicator of temporal arteritis.
  • Prompt diagnosis and treatment with corticosteroids are crucial for potential hearing restoration.
  • Further research is needed to determine if the timing of treatment impacts recovery outcomes.