Patent Foramen Ovale as Possible Cause of Sudden Sensorineural Hearing Loss: A Case Report
| Autor: | Claudia Aimoni, Chiara Bianchini, Andrea Ciorba, Luca Cerritelli, Virginia Corazzi, Giovanni Scanelli |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Etiology Hearing Loss Sensorineural Foramen Ovale Patent Socio-culturale Neurological examination Case Report Audiology 03 medical and health sciences 0302 clinical medicine Adrenal Cortex Hormones Vertigo medicine Humans 030223 otorhinolaryngology medicine.diagnostic_test biology business.industry Patent foramen ovale Sudden sensorineural hearing loss Magnetic resonance imaging General Medicine Middle Aged biology.organism_classification medicine.disease Magnetic Resonance Imaging Echocardiography Doppler Transcranial Doppler medicine.anatomical_structure Radiology Audiometry business 030217 neurology & neurosurgery Echocardiography Transesophageal Platelet Aggregation Inhibitors Interatrial septum |
| Popis: | Objective: To present a case of sudden sensorineural hearing loss (SSNHL) and the related diagnostic workup. Clinical Presentation and Intervention: A 54-year-old man presented with a unilateral SSNHL episode and vertigo. A severe patent foramen ovale (PFO) that included a complete ear nose and throat, audiological, and neurological examination was discovered during the diagnostic workup. Audiometry, blood, and serological tests were performed. Magnetic resonance imaging and color Doppler echography of the supra-aortic trunks and lower limbs were carried out. Finally, transthoracic followed by transesophageal echocardiography and transcranial Doppler were performed in order to confirm the diagnosis of PFO. Medical therapy with systemic steroid and antiplatelet drugs was administered. Conclusions: This case showed a small PFO associated with an aneurysmatic interatrial septum. The PFO and paradoxical thromboembolism could be involved in the pathogenesis of SSNHL. |
| Databáze: | OpenAIRE |
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