Pulsatile tinnitus related to progestin from intrauterine device
| Autor: | Fernando Kaoru Yonamine, Ektor Tsuneo Onishi, Bruno Borges de Carvalho Barros, Fernando Takashi Hirose |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Stethoscope Visual analogue scale Hearing loss Physical examination Intrauterine device Head trauma law.invention 03 medical and health sciences Tinnitus 0302 clinical medicine law medicine Humans 030223 otorhinolaryngology medicine.diagnostic_test business.industry Ultrasonography Doppler Auscultation lcsh:Otorhinolaryngology lcsh:RF1-547 Surgery Otorhinolaryngology Anesthesia Female medicine.symptom Progestins business Tomography X-Ray Computed 030217 neurology & neurosurgery Magnetic Resonance Angiography Intrauterine Devices |
| Zdroj: | Brazilian Journal of Otorhinolaryngology, Vol 82, Iss 3, Pp 365-367 |
| ISSN: | 1808-8694 |
| DOI: | 10.1016/j.bjorl.2015.04.005 |
| Popis: | ear that was synchronous with her heartbeat. The patientrelated the onset of symptoms to months after the birth ofher son. She denied head trauma, dizziness or hearing loss; experienced difficulty sleeping due to the intensity of tinnitus (score=8 on a visual analogue scale, VAS), and discreet evening swelling of her lower limbs. As to personal history, this patient denied systemic diseases as hypertension, diabetes, hyper- or hypothyroidism. patient had an intrauterine device (IUD) placed about 6 previously. physical examination, the patient was normotensive with normal bilateral otoscopy. She reported decreased during cervical compression maneuver over large onthe right, but with no change head rotation. auscultation revealed no thrills or murmurs withthe stethoscope. Laboratory workup: hemoglobin 14g/dL,hematocrit 41%, normal levels for total cholesterol and itsfractions, triglycerides and thyroid hormones. This patientexhibited normal pure tone and speech audiometry andimpedance tests.An imaging evaluation (Doppler ultrasound of carotidand vertebrals, tomography of temporal bones, magneticresonance of inner ears and cranial angioresonance) wasperformed, with no identified abnormalities (Fig. 1).After the most frequent causes of vascular PT wereruled out, it was hypothesized a relationship with progestin-containing intrauterine device. Our patient |
| Databáze: | OpenAIRE |
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