Langerhans cell histiocytosis of the petrous bone with sudden sensorineural hearing loss. Case report.
Neurol Med Chir (Tokyo)
; 50(8): 693-7, 2010.
Article
em En
| MEDLINE
| ID: mdl-20805658
A 56-year-old woman with Langerhans cell histiocytosis of the petrous bone presented with sudden onset of sensorineural hearing loss and vertigo without other neurological impairment, mimicking idiopathic sudden sensorineural hearing loss. Differential diagnosis was difficult until neuroimaging demonstrated a lesion of the petrous bone. The patient eventually underwent removal of the lesion via the transpetrosal approach, and received postoperative chemotherapy consisting of vinblastine, methotrexate, 6-mercaptopurine, and prednisolone. Although her hearing did not recover, complete remission was achieved, and the patient is currently free from disease. Physicians need to be aware that patients with sudden onset of hearing loss may have an unexpected and hidden disease which requires neuroimaging and histological examinations for definitive diagnosis and appropriate treatment.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osso Petroso
/
Doenças Ósseas
/
Vertigem
/
Histiocitose de Células de Langerhans
/
Perda Auditiva Neurossensorial
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Neurol Med Chir (Tokyo)
Ano de publicação:
2010
Tipo de documento:
Article