Antonopoulos Stavros, Balatsouras Dimitrios G, Kanakaki Sofia, Dona Athina, Spiliopoulou Christina, Giannoulis Grigoris
Internal Medicine Department, Tzanion General Hospital, Athens, Greece.
Auris Nasus Larynx. 2012 Jun;39(3):305-9. doi: 10.1016/j.anl.2011.08.001. Epub 2011 Sep 8.
Objective. Acute or chronic heroin abuse has been associated with various central neurologic pathologies and, occasionally, with peripheral nervous system damage. The effect of heroin on hearing has not been adequately documented, although several cases with sudden hearing loss owed to heroin abuse have been reported. We present a young male with bilateral sudden sensorineural hearing loss, following heroin sniffing and alcohol consumption. Methods. Our patient underwent a detailed clinical and audiological evaluation, including auditory brainstem responses and otoacoustic emission. Routine laboratory blood tests and imaging studies were performed. Results. The patient was treated with corticosteroids and magnesium, resulting in complete restoration of hearing after one month. Conclusion. Sudden hearing loss owed to heroin abuse is usually curable, following adequate treatment.
目的。急性或慢性海洛因滥用与各种中枢神经病理学相关，偶尔也与周围神经系统损伤有关。尽管已有几例因海洛因滥用导致突然听力丧失的病例报道，但海洛因对听力的影响尚未得到充分记录。我们报告一名年轻男性，在吸食海洛因和饮酒后出现双侧突然性感音神经性听力丧失。方法。我们的患者接受了详细的临床和听力学评估，包括听性脑干反应和耳声发射。进行了常规实验室血液检查和影像学研究。结果。患者接受了皮质类固醇和镁治疗，一个月后听力完全恢复。结论。因海洛因滥用导致的突然听力丧失在经过适当治疗后通常可治愈。
