Hearing loss and vertigo in superficial siderosis of the central nervous system
Otoneurologic findings in patients with superficial siderosis (SS) of the central nervous system are described. A 20-year-old man with acute vertigo, dizziness, with a history of head trauma in childhood; an 87-year-old woman with severe disequilibrium appearing after peridural anesthesia; and a 55-...
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Veröffentlicht in: | American journal of otolaryngology 2004-03, Vol.25 (2), p.142-149 |
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creator | Vibert, Dominique Häusler, Rudolf Lövblad, Karl-Olof Schroth, Gerhard |
description | Otoneurologic findings in patients with superficial siderosis (SS) of the central nervous system are described. A 20-year-old man with acute vertigo, dizziness, with a history of head trauma in childhood; an 87-year-old woman with severe disequilibrium appearing after peridural anesthesia; and a 55-year-old woman with recurrent episodes of positional vertigo and progressive ataxia, suffering from a lumbar ependymoma are described; all patients complained of progressive bilateral hearing loss and tinnitus.
Otoneurologic examination showed bilateral sensorineural hearing loss, disturbed ocular pursuit and optokinetic nystagmus, incomplete visual suppression of the vestibulo-ocular reflex during rotatory pendular testing, right hyporeflexia, and bilateral caloric areflexia. Cerebral magnetic resonance imaging (MRI) revealed rims of hypointensity surrounding the brainstem and linear hypointensities following the surface of the cerebellar folia.
The etiology stems from subarachnoid hemorrhage, but the source of bleeding may remain obscure. Bilateral hearing loss is described in 95% and disequilibrium in 90% because of peripheral vestibular deficit and cerebellar ataxia. In patients with progressive bilateral cochleo-vestibular deficit of unknown etiology, MRI is the examination of choice to confirm SS. |
doi_str_mv | 10.1016/j.amjoto.2003.10.001 |
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Otoneurologic examination showed bilateral sensorineural hearing loss, disturbed ocular pursuit and optokinetic nystagmus, incomplete visual suppression of the vestibulo-ocular reflex during rotatory pendular testing, right hyporeflexia, and bilateral caloric areflexia. Cerebral magnetic resonance imaging (MRI) revealed rims of hypointensity surrounding the brainstem and linear hypointensities following the surface of the cerebellar folia.
The etiology stems from subarachnoid hemorrhage, but the source of bleeding may remain obscure. Bilateral hearing loss is described in 95% and disequilibrium in 90% because of peripheral vestibular deficit and cerebellar ataxia. In patients with progressive bilateral cochleo-vestibular deficit of unknown etiology, MRI is the examination of choice to confirm SS.</description><identifier>ISSN: 0196-0709</identifier><identifier>EISSN: 1532-818X</identifier><identifier>DOI: 10.1016/j.amjoto.2003.10.001</identifier><identifier>PMID: 14976664</identifier><identifier>CODEN: AJOTDP</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Ataxia - etiology ; Audiometry, Evoked Response ; Audiometry, Pure-Tone ; Biological and medical sciences ; Brain - pathology ; Brain Diseases - complications ; Brain Diseases - diagnosis ; Brain Diseases - physiopathology ; Electronystagmography ; Evoked Potentials, Auditory, Brain Stem ; Female ; General aspects ; Hearing Loss, Sensorineural - etiology ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Siderosis - complications ; Siderosis - diagnosis ; Siderosis - physiopathology ; Vertigo - etiology</subject><ispartof>American journal of otolaryngology, 2004-03, Vol.25 (2), p.142-149</ispartof><rights>2004 Elsevier Inc.</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-d0301c61d3c85df12cd8dfd5194bb7c8edb1895caa7b2869071f1ee46dc0f8783</citedby><cites>FETCH-LOGICAL-c484t-d0301c61d3c85df12cd8dfd5194bb7c8edb1895caa7b2869071f1ee46dc0f8783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amjoto.2003.10.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15570917$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14976664$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vibert, Dominique</creatorcontrib><creatorcontrib>Häusler, Rudolf</creatorcontrib><creatorcontrib>Lövblad, Karl-Olof</creatorcontrib><creatorcontrib>Schroth, Gerhard</creatorcontrib><title>Hearing loss and vertigo in superficial siderosis of the central nervous system</title><title>American journal of otolaryngology</title><addtitle>Am J Otolaryngol</addtitle><description>Otoneurologic findings in patients with superficial siderosis (SS) of the central nervous system are described. A 20-year-old man with acute vertigo, dizziness, with a history of head trauma in childhood; an 87-year-old woman with severe disequilibrium appearing after peridural anesthesia; and a 55-year-old woman with recurrent episodes of positional vertigo and progressive ataxia, suffering from a lumbar ependymoma are described; all patients complained of progressive bilateral hearing loss and tinnitus.
Otoneurologic examination showed bilateral sensorineural hearing loss, disturbed ocular pursuit and optokinetic nystagmus, incomplete visual suppression of the vestibulo-ocular reflex during rotatory pendular testing, right hyporeflexia, and bilateral caloric areflexia. Cerebral magnetic resonance imaging (MRI) revealed rims of hypointensity surrounding the brainstem and linear hypointensities following the surface of the cerebellar folia.
The etiology stems from subarachnoid hemorrhage, but the source of bleeding may remain obscure. Bilateral hearing loss is described in 95% and disequilibrium in 90% because of peripheral vestibular deficit and cerebellar ataxia. In patients with progressive bilateral cochleo-vestibular deficit of unknown etiology, MRI is the examination of choice to confirm SS.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ataxia - etiology</subject><subject>Audiometry, Evoked Response</subject><subject>Audiometry, Pure-Tone</subject><subject>Biological and medical sciences</subject><subject>Brain - pathology</subject><subject>Brain Diseases - complications</subject><subject>Brain Diseases - diagnosis</subject><subject>Brain Diseases - physiopathology</subject><subject>Electronystagmography</subject><subject>Evoked Potentials, Auditory, Brain Stem</subject><subject>Female</subject><subject>General aspects</subject><subject>Hearing Loss, Sensorineural - etiology</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Siderosis - complications</subject><subject>Siderosis - diagnosis</subject><subject>Siderosis - physiopathology</subject><subject>Vertigo - etiology</subject><issn>0196-0709</issn><issn>1532-818X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kN9LHDEQgINY9Gr7HxQJiI97zdxms9kXQURrQfClBd9CNpnYLHebM7N74H9vjjvwrU8DM9_8-hj7AWIJAtTPYWk3Q5rSciVEXVJLIeCELaCpV5UG_XLKFgI6VYlWdOfsK9EgCijr5oydg-xapZRcsOdHtDmOr3ydiLgdPd9hnuJr4nHkNG8xh-iiXXOKHnOiSDwFPv1D7nCccimMmHdpJk7vNOHmG_sS7Jrw-zFesL8P93_uHqun51-_726fKie1nCovagFOga-dbnyAlfPaB99AJ_u-dRp9D7prnLVtv9KqEy0EQJTKOxF0q-sLdnWYu83pbUaazJDmPJaVBsqXjZJa1YWSB8qV0yljMNscNza_F8jsLZrBHCyavcV9tlgsbZfH4XO_Qf_ZdNRWgOsjYMnZdch2dJE-uaYp0qEt3M2Bw6JiFzEbchFHhz5mdJPxKf7_kg_Y4ZK4</recordid><startdate>20040301</startdate><enddate>20040301</enddate><creator>Vibert, Dominique</creator><creator>Häusler, Rudolf</creator><creator>Lövblad, Karl-Olof</creator><creator>Schroth, Gerhard</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QR</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope></search><sort><creationdate>20040301</creationdate><title>Hearing loss and vertigo in superficial siderosis of the central nervous system</title><author>Vibert, Dominique ; Häusler, Rudolf ; Lövblad, Karl-Olof ; Schroth, Gerhard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-d0301c61d3c85df12cd8dfd5194bb7c8edb1895caa7b2869071f1ee46dc0f8783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ataxia - etiology</topic><topic>Audiometry, Evoked Response</topic><topic>Audiometry, Pure-Tone</topic><topic>Biological and medical sciences</topic><topic>Brain - pathology</topic><topic>Brain Diseases - complications</topic><topic>Brain Diseases - diagnosis</topic><topic>Brain Diseases - physiopathology</topic><topic>Electronystagmography</topic><topic>Evoked Potentials, Auditory, Brain Stem</topic><topic>Female</topic><topic>General aspects</topic><topic>Hearing Loss, Sensorineural - etiology</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Siderosis - complications</topic><topic>Siderosis - diagnosis</topic><topic>Siderosis - physiopathology</topic><topic>Vertigo - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vibert, Dominique</creatorcontrib><creatorcontrib>Häusler, Rudolf</creatorcontrib><creatorcontrib>Lövblad, Karl-Olof</creatorcontrib><creatorcontrib>Schroth, Gerhard</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>American journal of otolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vibert, Dominique</au><au>Häusler, Rudolf</au><au>Lövblad, Karl-Olof</au><au>Schroth, Gerhard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hearing loss and vertigo in superficial siderosis of the central nervous system</atitle><jtitle>American journal of otolaryngology</jtitle><addtitle>Am J Otolaryngol</addtitle><date>2004-03-01</date><risdate>2004</risdate><volume>25</volume><issue>2</issue><spage>142</spage><epage>149</epage><pages>142-149</pages><issn>0196-0709</issn><eissn>1532-818X</eissn><coden>AJOTDP</coden><abstract>Otoneurologic findings in patients with superficial siderosis (SS) of the central nervous system are described. A 20-year-old man with acute vertigo, dizziness, with a history of head trauma in childhood; an 87-year-old woman with severe disequilibrium appearing after peridural anesthesia; and a 55-year-old woman with recurrent episodes of positional vertigo and progressive ataxia, suffering from a lumbar ependymoma are described; all patients complained of progressive bilateral hearing loss and tinnitus.
Otoneurologic examination showed bilateral sensorineural hearing loss, disturbed ocular pursuit and optokinetic nystagmus, incomplete visual suppression of the vestibulo-ocular reflex during rotatory pendular testing, right hyporeflexia, and bilateral caloric areflexia. Cerebral magnetic resonance imaging (MRI) revealed rims of hypointensity surrounding the brainstem and linear hypointensities following the surface of the cerebellar folia.
The etiology stems from subarachnoid hemorrhage, but the source of bleeding may remain obscure. Bilateral hearing loss is described in 95% and disequilibrium in 90% because of peripheral vestibular deficit and cerebellar ataxia. In patients with progressive bilateral cochleo-vestibular deficit of unknown etiology, MRI is the examination of choice to confirm SS.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>14976664</pmid><doi>10.1016/j.amjoto.2003.10.001</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Ataxia - etiology Audiometry, Evoked Response Audiometry, Pure-Tone Biological and medical sciences Brain - pathology Brain Diseases - complications Brain Diseases - diagnosis Brain Diseases - physiopathology Electronystagmography Evoked Potentials, Auditory, Brain Stem Female General aspects Hearing Loss, Sensorineural - etiology Humans Magnetic Resonance Imaging Male Medical sciences Middle Aged Siderosis - complications Siderosis - diagnosis Siderosis - physiopathology Vertigo - etiology |
title | Hearing loss and vertigo in superficial siderosis of the central nervous system |
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