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A member asked:
I have a 3.5 year old female with 1 week history of acute bilateral deafness. she has had no recent infections, no trauma, no fever, has normal tymp and negative oae.what could be the cause?
22 doctors weighed in across 3 answers
See below: Screen for autoimmune diseases and antiphospholipid antibody syndrome. Also consider a mra of the brain to rule out vascultis. Hope that helps, .
Answered 11/27/2017
5.1k views
Steroids quick: Hi, there is increasing support for transtympanic steroids for sudden sensorineural hearing loss. I would do that right after the MRI while there is still anesthesia on board. And the oral ones, of course. Make sure there isn't a meningitis as the source. Or enlarged vestibular aqueducts. Ent should be on this... If dilly dallying send to a peds ENT who should be up to date on what to do.
Answered 10/2/2017
5k views
Sudden hearing loss.: Consider 'idiopathic sudden sensoneurinal hearing loss' (isshl).Usually occurs unilateral, but may occur bilaterally. 4 pathways- labyrinthine viral inf, labr vascular compromise intracochlear membrane rupture immune-mediated multifactorial , aao-hnsf guidelines are available. Do consider internal auditory canal /cpa tumors.Mri with dpta enhancement is the standard test for cpa tumors.Abr
Answered 11/27/2017
4.9k views
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