American journal of otolaryngology · 2015
Neuro-otologic manifestations of tuberculosis. "The great imitator".
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Diplan Rubio Johanna Miguelina, Alarcón Alfredo Vega, Díaz Marité Palma, Vales Olivia, Hinojosa Ramón, Del Angel Josefina Morales, Romero Dina, Sánchez Yolanda
Аннотация
OBJECTIVE: To demonstrate the different neuro-otologic clinical presentations of tuberculosis.
STUDY DESIGN: Retrospective clinical analysis.
RESULT: 83.3% of the cases of ear or central nervous system TB were without concomitant lung disease. 2 cases had primary infection in the central nervous system. The neuro-otologic manifestation was as follows: 85.7% sensorineural hearing loss; 42% polyneuropathy. 71.4% had granulation tissue. 2 had normal otoscopy. In 6 patients the histopathology and Ziehl Neelsen were confirmatory. One case was confirmed by the positive response to treatment with antituberculosis drugs.
CONCLUSIONS: Tuberculosis has a wide variety of neurotologic manifestations from chronic otitis media cadres to vestibular, audiological and neurological manifestations as well as a large variability in imaging studies.
STUDY DESIGN: Retrospective clinical analysis.
RESULT: 83.3% of the cases of ear or central nervous system TB were without concomitant lung disease. 2 cases had primary infection in the central nervous system. The neuro-otologic manifestation was as follows: 85.7% sensorineural hearing loss; 42% polyneuropathy. 71.4% had granulation tissue. 2 had normal otoscopy. In 6 patients the histopathology and Ziehl Neelsen were confirmatory. One case was confirmed by the positive response to treatment with antituberculosis drugs.
CONCLUSIONS: Tuberculosis has a wide variety of neurotologic manifestations from chronic otitis media cadres to vestibular, audiological and neurological manifestations as well as a large variability in imaging studies.