Verburg A F E Arianne, Alkhateeb W H F Waiel, Merkus Paul
Academisch Medisch Centrum, afd. Huisartsgeneeskunde, Amsterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2011;155:A2460.
A 56-year-old woman presented with acute right-sided hearing loss. At first presentation she was diagnosed as having otitis media with effusion. No tuning fork test was performed. After four weeks she was finally correctly diagnosed as having a right-sided sensorineural hearing loss of 90 dB. As a result of the delay no treatment was started. Her hearing loss did not show any improvement after three months. Sensorineural hearing loss is a rare, potentially invalidating condition with a considerable psychological impact. The treatment consists of systemic steroids, which may only be useful if started within 14 days after symptoms start. Some patients are initially treated for conductive hearing loss. Routine performance of the tuning fork test helps in differentiating between conductive and perceptive hearing loss. In cases of acute perceptive hearing loss, patients should be referred to the otorhinolaryngologist to exclude possible causes and start treatment and guidance.
一名56岁女性出现急性右侧听力丧失。初诊时她被诊断为中耳积液。未进行音叉试验。四周后她最终被正确诊断为右侧感音神经性听力丧失90分贝。由于延误，未开始治疗。三个月后她的听力丧失没有任何改善。感音神经性听力丧失是一种罕见的、可能导致残疾的疾病，会产生相当大的心理影响。治疗包括全身用类固醇，只有在症状开始后14天内开始使用才可能有效。一些患者最初被当作传导性听力丧失进行治疗。常规进行音叉试验有助于区分传导性和感音性听力丧失。对于急性感音性听力丧失病例，患者应转诊至耳鼻喉科医生处，以排除可能的病因并开始治疗和指导。
