Acute tinnitus and hearing loss as the initial symptom of multiple sclerosis in a child

2005 ◽  
Vol 69 (1) ◽  
pp. 123-126 ◽  
Author(s):  
M. Victoria Rodriguez-Casero ◽  
Simone Mandelstam ◽  
Andrew J. Kornberg ◽  
Robert G. Berkowitz
Keyword(s):  
Multiple Sclerosis ◽  
Hearing Loss ◽  
Initial Symptom ◽  
Acute Tinnitus

scholarly journals Association of multiple sclerosis and sudden sensorineural hearing loss

2016 ◽  
Vol 2 ◽  
pp. 205521731665215 ◽  
Author(s):  
S Atula ◽  
ST Sinkkonen ◽  
R Saat ◽  
T Sairanen ◽  
T Atula
Keyword(s):  
Multiple Sclerosis ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Normal Population ◽  
Cranial Nerves ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
University Hospital ◽  
Initial Symptom ◽  
Mri Findings

Background Multiple sclerosis (MS) may affect other cranial nerves besides the optic nerve. Sudden sensorineural hearing loss (SSHL), possibly caused by a deficit in the auditory tract, including the vestibulocochlear nerve, is sometimes associated with MS. Objectives We aimed to assess the incidence of SSHL among MS patients, its frequency as an initial symptom of MS, and magnetic resonance imaging (MRI) findings associated with SSHL in MS. Methods We collected retrospectively all patients diagnosed with MS and SSHL at the Helsinki University Hospital between 2004 and 2014. Patients with both diagnoses were re-evaluated using hospital medical records, audiograms and head MRI scans. Results A total of 2736 patients were diagnosed with MS, 1581 patients with SSHL, and 18 patients (0.7% of all MS patients) with both; two patients presented with SSHL as an initial symptom of MS. The annual incidence of SSHL was 59.8/100 000 (95% confidence interval (CI) 37.7–94.9) in MS patients, and 12.4/100 000 (95% CI 11.8–13.0) in the normal population. Conclusion SSHL is a rare symptom of MS and is even less frequent as an initial symptom. Its incidence in MS patients, however, markedly exceeds that in the normal population.

Patients With Multiple Sclerosis Experience Hearing Loss Specifically for Shifts of Tone Frequency

1984 ◽  
Vol 41 (5) ◽  
pp. 506-508 ◽  
Author(s):  
D. B. Quine ◽  
D. Regan ◽  
K. I. Beverley ◽  
T. J. Murray
Keyword(s):  
Multiple Sclerosis ◽  
Hearing Loss ◽  
Tone Frequency

scholarly journals A Case of Aortitis Syndrome with Hearing Loss, Tinnitus and Vertigo as the Initial Symptom

1987 ◽  
Vol 1987 (Supplement16) ◽  
pp. 56-62 ◽  
Author(s):  
Shigeru Tsujimoto ◽  
Isao Takimoto ◽  
Hiromichi Ishigami ◽  
Kazumi Yamada ◽  
Meihou Nakayama
Keyword(s):  
Hearing Loss ◽  
Initial Symptom ◽  
Aortitis Syndrome

Paroxysmal dystonia and pathological laughter as a first manifestation of multiple sclerosis

2007 ◽  
Vol 14 (2) ◽  
pp. 262-265 ◽  
Author(s):  
M. Aguirregomozcorta ◽  
LI Ramió-Torrentà ◽  
J. Gich ◽  
A. Quiles ◽  
D. Genís
Keyword(s):  
Multiple Sclerosis ◽  
Neurological Diseases ◽  
Pseudobulbar Palsy ◽  
Initial Symptom ◽  
Pathological Laughter ◽  
Variable Duration ◽  
Ectopic Activation ◽  
Paroxysmal Dystonia

Paroxysmal dystonia is an uncommon but well-established feature of multiple sclerosis (MS). Attacks can occur in established MS and may even occasionally be the initial symptom of this disorder. Pathological laughter is usually seen as a pseudobulbar palsy in some diffuse neurological diseases, but cases have been described, mostly in ischaemic attacks or tumours, where it is presented as bursts of laughter of variable duration. The pathogenesis of neither of the two phenomena has been fully established but both have been reported as being positive phenomena resulting from ectopic activation with ephaptic spread. We describe the first reported case of a paroxysmal hemidystonia together with bursts of pathological laughter as the first manifestation of MS. Multiple Sclerosis 2008; 14: 262—265. http://msj.sagepub.com

Neuro-axonal recruitment: A result of selective compression

1990 ◽  
Vol 104 (3) ◽  
pp. 185-190 ◽  
Author(s):  
Ernst Lehnhardt
Keyword(s):  
Multiple Sclerosis ◽  
Hearing Loss ◽  
Inner Ear ◽  
Hearing Impairment ◽  
Auditory Nerve ◽  
Myelin Sheaths ◽  
Acoustic Neurinomas ◽  
Tone Decay ◽  
Interpeak Latency ◽  
Small Acoustic Neuroma

AbstractMany acoustic neurinomas and CPA tumours present an audiometric picture of positive-recruitment hearing impairment although often the CMs are not significantly impaired (according to ECochG) and because, even in the case of a small acoustic neuroma, the interpeak latency between wave I and V (ERA) is increased in the majority of cases. Recruitment cannot be explained, in these cases, as an expression of an accompanying vascular inner ear lesion. Therefore, we attempt to interpret the differential audiometric picture to the various patterns of damage of the auditory nerve. The finding of tone decay is seen as an expression of myelin damage corresponding to the hearing loss in multiple sclerosis.The absence of any degree of tone decay excludes an isolated damage of the myelin sheaths; hearing loss then results from a disturbance also of the associated axons. At such a stage, where there is a functional loss to part of the neural fibres but with intact myelinated residual fibres, the result could be the phenomenon of recruitment for suprathreshold stimulation. This theory of selective compression is compared to an isolated efferent lesion theory as the cause for recruitment in AN and CPA tumours.

Multiple Sclerosis Manifesting as Sudden Hearing Loss

1987 ◽  
Vol 97 (3) ◽  
pp. 335-338 ◽  
Author(s):  
Paul A. Levine ◽  
John J. Shea ◽  
Derald E. Brackmann
Keyword(s):  
Multiple Sclerosis ◽  
Hearing Loss ◽  
Sudden Hearing Loss

Foreign accent syndrome as a first sign of multiple sclerosis

2009 ◽  
Vol 15 (9) ◽  
pp. 1123-1125 ◽  
Author(s):  
JB Chanson ◽  
S Kremer ◽  
F Blanc ◽  
C Marescaux ◽  
IJ Namer ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Right Hemisphere ◽  
Brain Mri ◽  
Photon Emission ◽  
Brain Magnetic Resonance Imaging ◽  
Foreign Accent ◽  
Oligoclonal Bands ◽  
Emission Computed Tomography ◽  
Initial Symptom ◽  
Foreign Accent Syndrome

Background Foreign accent syndrome (FAS) consists of a speech rhythm disorder different from dysarthia or aphasia. It is unusually met in multiple sclerosis (MS). Objective We report a case of FAS as an initial symptom of a MS. Methods A right-handed French woman developed an isolated German foreign accent. Brain magnetic resonance imaging (MRI), SPECT and analysis of CSF were performed. Results Brain MRI revealed a large hypersignal on T2-weighted images in the left prerolandic white matter. Single photon emission computed tomography showed a right prerolandic hypoperfusion. Unmatched oligoclonal bands in cerebrospinal fluid and occurrence of new abnormal hypersignals on the following MRI led us to diagnose MS. Conclusion FAS may be the first symptom of MS. It could result from extensive disturbances of brain function involving the right hemisphere.

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