Sudden sensorineural hearing loss in a multiple sclerosis case

Multiple sclerosis (MS) is the most common demyelinating disease of the central nervous system. MS involves different regions of the central nervous system in different periods, and causes demyelination. MS is a neuromotor disorder which progresses with remissions and relapses. Symptoms of MS may regress completely or heal after the relapses leaving sequelae. Sudden sensorinerural hearing loss (SSHL) is hearing loss of 30 dB or more over
at least three contiguous audiometric frequencies that develops over a period of a few hours to 3 days. In 4-10 % of the MS patients, sensorineural hearing loss occurs between relapses or remissions. In this case, audiotory brainstem response (ABR) test is the most appropriate test for the diagnosis of sensorineural hearing loss in MS patients. In this article, we will discuss a patient diagnosed as MS who presented with sudden sensorineural hearing loss during the remission of the disease.

Ani Ýþitme Kaybý ile Seyreden Multiple Skleroz Olgusu

Multiple skleroz(MS) santral sinir sisteminin en sýk görülen demiyelinizan hastalýðýdýr. Santral sinir sisteminde farklý zamanlarda farklý bölgeleri tutarak demiyelinizasyona neden olur. MS remisyon ve relapslarla seyreden bir nörömotor bir hastalýktýr. Relapslar sýrasýnda oluþan bulgu tamamen gerileyebileceði gibi sekel býrakarak da iyileþebilir.
Ani iþtme kaybý ardý ardýna 3 frekansta 30 dB ve üstünde sensinörinal iþitme kaybý olmasýdýr. Baþlangýcý bir kaç saat ile 3 gün arasýnda olabilir.
MS’li hastalarýn %4-10’unda remisyon ve relaps peryodlarý arasýnda sensorineural iþitme kaybý gözlenebilir. Bu durumu ortaya koymada en uygun test auditory brainstem response (ABR) testtir.
Biz burada multiple skleroz tanýsý olan ve hastalýðýnýn remisyon evresindeyken ani iþitme kaybý ile relaps bulgusu veren 30 yaþýndaki bir hastamýzý tartýþacaðýz.