Contribution of audiovestibular tests to the topographic diagnosis of sudden deafness
Summary Introduction: Sudden hearing loss (SHL) is an ENT emergency defined as sensorineural hearing loss (SNHL) ≥ 30 dB HL affecting at least 3 consecutive tonal frequencies, showing a sudden onset, and occurring within 3 days. In cases of SHL, a detailed investigation should be performed in order...
Saved in:
| Published in: | International Archives of Otorhinolaryngology Vol. 17; no. 3; pp. 305 - 314 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Rio de Janeiro, Brazil
Thieme Publicações Ltda
01-07-2013
Fundação Otorrinolaringologia Thieme Revinter Publicações Ltda |
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Summary
Introduction:
Sudden hearing loss (SHL) is an ENT emergency defined as sensorineural hearing loss (SNHL) ≥ 30 dB HL affecting at least 3 consecutive tonal frequencies, showing a sudden onset, and occurring within 3 days. In cases of SHL, a detailed investigation should be performed in order to determine the etiology and provide the best treatment. Otoacoustic emission (OAE) analysis, electronystagmography (ENG), bithermal caloric test (BCT), and vestibular evoked myogenic potential (VEMP) assessments may be used in addition to a number of auxiliary methods to determine the topographic diagnosis.
Objective
To evaluate the contribution of OAE analysis, BCT, VEMP assessment, and magnetic resonance imaging (MRI) to the topographic diagnosis of SHL.
Method
Cross-sectional and retrospective studies of 21 patients with SHL, as defined above, were performed. The patients underwent the following exams: audiometry, tympanometry, OAE analysis, BCT, VEMP assessment, and MRI. Sex, affected side, degree of hearing loss, and cochleovestibular test results were described and correlated with MRI findings. Student's t-test was used for analysis of qualitative variables (p < 0.05).
Results
The mean age of the 21 patients assessed was 52.5 ± 15.3 years; 13 (61.9%) were women and 8 (38.1%) were men. Most (55%) had severe hearing loss. MRI changes were found in 20% of the cases. When the audiovestibular test results were added to the MRI findings, the topographic SHL diagnosis rate increased from 20% to 45%.
Conclusion
Only combined analysis via several examinations provides a precise topographic diagnosis. Isolated data do not provide sufficient evidence to establish the extent of involvement and, hence, a possible etiology. |
|---|---|
| AbstractList | INTRODUCTION: Sudden hearing loss (SHL) is an ENT emergency defined as sensorineural hearing loss (SNHL) > 30 dB HL affecting at least 3 consecutive tonal frequencies, showing a sudden onset, and occurring within 3 days. In cases of SHL, a detailed investigation should be performed in order to determine the etiology and provide the best treatment. Otoacoustic emission (OAE) analysis, electronystagmography (ENG), bithermal caloric test (BCT), and vestibular evoked myogenic potential (VEMP) assessments may be used in addition to a number of auxiliary methods to determine the topographic diagnosis. OBJECTIVE: To evaluate the contribution of OAE analysis, BCT, VEMP assessment, and magnetic resonance imaging (MRI) to the topographic diagnosis of SHL. METHOD: Cross-sectional and retrospective studies of 21 patients with SHL, as defined above, were performed. The patients underwent the following exams: audiometry, tympanometry, OAE analysis, BCT, VEMP assessment, and MRI. Sex, affected side, degree of hearing loss, and cochleovestibular test results were described and correlated with MRI findings. Student's t-test was used for analysis of qualitative variables (p < 0.05). RESULTS: The mean age of the 21 patients assessed was 52.5 ± 15.3 years; 13 (61.9%) were women and 8 (38.1%) were men. Most (55%) had severe hearing loss. MRI changes were found in 20% of the cases. When the audiovestibular test results were added to the MRI findings, the topographic SHL diagnosis rate increased from 20% to 45%. CONCLUSION: Only combined analysis via several examinations provides a precise topographic diagnosis. Isolated data do not provide sufficient evidence to establish the extent of involvement and, hence, a possible etiology. Summary Introduction: Sudden hearing loss (SHL) is an ENT emergency defined as sensorineural hearing loss (SNHL) ≥ 30 dB HL affecting at least 3 consecutive tonal frequencies, showing a sudden onset, and occurring within 3 days. In cases of SHL, a detailed investigation should be performed in order to determine the etiology and provide the best treatment. Otoacoustic emission (OAE) analysis, electronystagmography (ENG), bithermal caloric test (BCT), and vestibular evoked myogenic potential (VEMP) assessments may be used in addition to a number of auxiliary methods to determine the topographic diagnosis. Objective To evaluate the contribution of OAE analysis, BCT, VEMP assessment, and magnetic resonance imaging (MRI) to the topographic diagnosis of SHL. Method Cross-sectional and retrospective studies of 21 patients with SHL, as defined above, were performed. The patients underwent the following exams: audiometry, tympanometry, OAE analysis, BCT, VEMP assessment, and MRI. Sex, affected side, degree of hearing loss, and cochleovestibular test results were described and correlated with MRI findings. Student's t-test was used for analysis of qualitative variables (p < 0.05). Results The mean age of the 21 patients assessed was 52.5 ± 15.3 years; 13 (61.9%) were women and 8 (38.1%) were men. Most (55%) had severe hearing loss. MRI changes were found in 20% of the cases. When the audiovestibular test results were added to the MRI findings, the topographic SHL diagnosis rate increased from 20% to 45%. Conclusion Only combined analysis via several examinations provides a precise topographic diagnosis. Isolated data do not provide sufficient evidence to establish the extent of involvement and, hence, a possible etiology. Summary Introduction: Sudden hearing loss (SHL) is an ENT emergency defined as sensorineural hearing loss (SNHL) ≥ 30 dB HL affecting at least 3 consecutive tonal frequencies, showing a sudden onset, and occurring within 3 days. In cases of SHL, a detailed investigation should be performed in order to determine the etiology and provide the best treatment. Otoacoustic emission (OAE) analysis, electronystagmography (ENG), bithermal caloric test (BCT), and vestibular evoked myogenic potential (VEMP) assessments may be used in addition to a number of auxiliary methods to determine the topographic diagnosis. Objective To evaluate the contribution of OAE analysis, BCT, VEMP assessment, and magnetic resonance imaging (MRI) to the topographic diagnosis of SHL. Method Cross-sectional and retrospective studies of 21 patients with SHL, as defined above, were performed. The patients underwent the following exams: audiometry, tympanometry, OAE analysis, BCT, VEMP assessment, and MRI. Sex, affected side, degree of hearing loss, and cochleovestibular test results were described and correlated with MRI findings. Student's t-test was used for analysis of qualitative variables (p < 0.05). Results The mean age of the 21 patients assessed was 52.5 ± 15.3 years; 13 (61.9%) were women and 8 (38.1%) were men. Most (55%) had severe hearing loss. MRI changes were found in 20% of the cases. When the audiovestibular test results were added to the MRI findings, the topographic SHL diagnosis rate increased from 20% to 45%. Conclusion Only combined analysis via several examinations provides a precise topographic diagnosis. Isolated data do not provide sufficient evidence to establish the extent of involvement and, hence, a possible etiology. Introduction: Sudden hearing loss (SHL) is an ENT emergency defined as sensorineural hearing loss (SNHL) ≥ 30 dB HL affecting at least 3 consecutive tonal frequencies, showing a sudden onset, and occurring within 3 days. In cases of SHL, a detailed investigation should be performed in order to determine the etiology and provide the best treatment. Otoacoustic emission (OAE) analysis, electronystagmography (ENG), bithermal caloric test (BCT), and vestibular evoked myogenic potential (VEMP) assessments may be used in addition to a number of auxiliary methods to determine the topographic diagnosis. Objective To evaluate the contribution of OAE analysis, BCT, VEMP assessment, and magnetic resonance imaging (MRI) to the topographic diagnosis of SHL. Method Cross-sectional and retrospective studies of 21 patients with SHL, as defined above, were performed. The patients underwent the following exams: audiometry, tympanometry, OAE analysis, BCT, VEMP assessment, and MRI. Sex, affected side, degree of hearing loss, and cochleovestibular test results were described and correlated with MRI findings. Student's t-test was used for analysis of qualitative variables (p < 0.05). Results The mean age of the 21 patients assessed was 52.5 ± 15.3 years; 13 (61.9%) were women and 8 (38.1%) were men. Most (55%) had severe hearing loss. MRI changes were found in 20% of the cases. When the audiovestibular test results were added to the MRI findings, the topographic SHL diagnosis rate increased from 20% to 45%. Conclusion Only combined analysis via several examinations provides a precise topographic diagnosis. Isolated data do not provide sufficient evidence to establish the extent of involvement and, hence, a possible etiology. |
| Author | Castro, Claudio Campi de Ramos, Alice Carolina Mataruco Oiticica, Jeanne Pereira, Larissa Vilela Bastos, Sandra Lira Grasel, Signe Bittar, Roseli Saraiva Moreira Beck, Roberto |
| AuthorAffiliation | 1 MD PhD. Department of Otolaryngology, University of São Paulo School of Medicine 5 MD. Department of Otolaryngology, University of São Paulo School of Medicine 4 MD PhD. Department of Otolaryngology, University of São Paulo School of Medicine Institutions: (A) Department of Otolaryngology, University of São Paulo School of Medicine. (B) Heart Institute (InCor), University of São Paulo School of Medicine. São Paulo / SP - Brazil 3 MD PhD. Heart Institute [InCor], University of São Paulo School of Medicine 2 MD PhD. Department of Otolaryngology, University of São Paulo School of Medicine |
| AuthorAffiliation_xml | – name: 2 MD PhD. Department of Otolaryngology, University of São Paulo School of Medicine – name: 3 MD PhD. Heart Institute [InCor], University of São Paulo School of Medicine – name: 4 MD PhD. Department of Otolaryngology, University of São Paulo School of Medicine – name: 5 MD. Department of Otolaryngology, University of São Paulo School of Medicine – name: Institutions: (A) Department of Otolaryngology, University of São Paulo School of Medicine. (B) Heart Institute (InCor), University of São Paulo School of Medicine. São Paulo / SP - Brazil – name: 1 MD PhD. Department of Otolaryngology, University of São Paulo School of Medicine |
| Author_xml | – sequence: 1 givenname: Jeanne surname: Oiticica fullname: Oiticica, Jeanne email: jeanneoiticica@bioear.com.br organization: ENT Assistant Doctor Department of Otolaryngology University of São Paulo School of Medicine - R. Marjorie Prado 160 - São Paulo / SP - Brazil - Zip Code: 04663-080 – sequence: 2 givenname: Roseli Saraiva Moreira surname: Bittar fullname: Bittar, Roseli Saraiva Moreira organization: MD PhD. Department of Otolaryngology, University of São Paulo School of Medicine – sequence: 3 givenname: Claudio Campi de surname: Castro fullname: Castro, Claudio Campi de organization: MD PhD. Heart Institute [InCor], University of São Paulo School of Medicine – sequence: 4 givenname: Signe surname: Grasel fullname: Grasel, Signe organization: MD PhD. Department of Otolaryngology, University of São Paulo School of Medicine – sequence: 5 givenname: Larissa Vilela surname: Pereira fullname: Pereira, Larissa Vilela organization: MD. Department of Otolaryngology, University of São Paulo School of Medicine – sequence: 6 givenname: Sandra Lira surname: Bastos fullname: Bastos, Sandra Lira organization: MD. Department of Otolaryngology, University of São Paulo School of Medicine – sequence: 7 givenname: Alice Carolina Mataruco surname: Ramos fullname: Ramos, Alice Carolina Mataruco organization: MD. Department of Otolaryngology, University of São Paulo School of Medicine – sequence: 8 givenname: Roberto surname: Beck fullname: Beck, Roberto organization: MD. Department of Otolaryngology, University of São Paulo School of Medicine |
| BookMark | eNqFkdtqGzEQhkVJadI077Av4FSnXUk3hWJ6CAR60eZa6DCyZdaSkXYDfftqvaZt6EUvxAwz8_0a_nmLrlJOgFBH8L0gA33_nUisNkoIQTFhGOPlYUJeoZtzh8uBX13yZeoa3dV6WEYYx1zhN-ia9kpRTMUNetrmNJVo5ynm1OXQmdnH_Ax1arXRlG5qae2m3E17aOGUd8Wc9tF1PppdyjXWhaqz95A6DyYkqPUdeh3MWOHuEm_R0-dPP7ZfN4_fvjxsPz5uXC_YtKE2SE9lb6U1jDHHvZABWpB4AOylV5QIoqj1fU9MCB63NlfMKipgGCS7RQ-rrs_moE8lHk35qbOJ-lzIZadNmaIbQVvqBw_OewOcK6esYL00VgkVeky4aFr3q1Z1EcasD3kuqS2vz37rxdW__CakAR9W4DTbI3gHzUgzvtjiZSfFvd7lZ805ZZTzJiBXAVdyrQXCb5ZgvZz68vW_p26oWNFpH-EIf5b9L_kLsMqsFg |
| CitedBy_id | crossref_primary_10_3389_fneur_2023_1127008 crossref_primary_10_3389_fneur_2022_1017608 crossref_primary_10_3389_fneur_2018_00045 crossref_primary_10_1159_000515153 |
| ContentType | Journal Article |
| Copyright | Thieme Medical Publishers This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
| Copyright_xml | – notice: Thieme Medical Publishers – notice: This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
| DBID | 0U6 AAYXX CITATION 5PM GPN DOA |
| DOI | 10.7162/S1809-977720130003000011 |
| DatabaseName | Thieme Connect Journals Open Access CrossRef PubMed Central (Full Participant titles) SciELO Directory of Open Access Journals |
| DatabaseTitle | CrossRef |
| DatabaseTitleList | |
| Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: http://www.doaj.org/ sourceTypes: Open Website |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1809-4864 |
| EndPage | 314 |
| ExternalDocumentID | oai_doaj_org_article_b2d6decddae449c9b7358ab979f50147 S1809_48642013000300011 10_7162_S1809_977720130003000011 |
| GroupedDBID | 0R~ 0U6 29J 2WC 4.4 53G 5GY 5VS ABDBF ABXHO ACGFS ADBBV ADRAZ AHRAW ALMA_UNASSIGNED_HOLDINGS AOIJS APOWU AZFZN BAWUL BCNDV C1A DIK EBD EBS EJD ESX EXEOM FRP GROUPED_DOAJ H13 HYE IPNFZ KQ8 M48 M~E O9- OK1 PGMZT RIG RPM RSC RTC SCD AAYXX CITATION 5PM GPN |
| ID | FETCH-LOGICAL-c573t-2bf8d285b8ba333c4d78fec4d806e0d8d9217192bd551affd08fe493b927e6683 |
| IEDL.DBID | RPM |
| ISSN | 1809-9777 1809-4864 |
| IngestDate | Tue Oct 22 15:13:58 EDT 2024 Tue Nov 19 21:48:23 EST 2024 Tue Sep 17 21:14:21 EDT 2024 Fri Aug 23 02:03:16 EDT 2024 Sun Nov 24 14:59:53 EST 2024 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 3 |
| Keywords | Deafness Sudden Vestibular Function Tests Diagnosis Hearing Loss Hearing Tests |
| Language | English |
| License | This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. http://creativecommons.org/licenses/by-nc/4.0 |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c573t-2bf8d285b8ba333c4d78fec4d806e0d8d9217192bd551affd08fe493b927e6683 |
| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4423244/ |
| PMID | 25992027 |
| PageCount | 10 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_b2d6decddae449c9b7358ab979f50147 scielo_journals_S1809_48642013000300011 pubmedcentral_primary_oai_pubmedcentral_nih_gov_4423244 crossref_primary_10_7162_S1809_977720130003000011 thieme_journals_10_7162_S1809_977720130003000011 |
| PublicationCentury | 2000 |
| PublicationDate | 2013-07-01 |
| PublicationDateYYYYMMDD | 2013-07-01 |
| PublicationDate_xml | – month: 07 year: 2013 text: 2013-07-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | Rio de Janeiro, Brazil |
| PublicationPlace_xml | – name: Rio de Janeiro, Brazil |
| PublicationTitle | International Archives of Otorhinolaryngology |
| PublicationTitleAlternate | Int Arch Otorhinolaryngol |
| PublicationYear | 2013 |
| Publisher | Thieme Publicações Ltda Fundação Otorrinolaringologia Thieme Revinter Publicações Ltda |
| Publisher_xml | – name: Thieme Publicações Ltda – name: Fundação Otorrinolaringologia – name: Thieme Revinter Publicações Ltda |
| References | Mattox, DE; Simmons, FB 1977; 86 Aarnisalo, AA; Suoranta, H; Ylikoski, J 2004; 25 Fetterman, BL; Luxford, WM; Saunders, JE 1996; 106 Lonsbury-Martin, BL; Martin, GK 1990; 11 Oiticica, J; Bittar, RS 2010; 65 Wu, CC; Young, YH 2002; 23 Velenovsky, DS; Glattke, TJ 2002; 164 2008 Wilson, WR; Byl, FM; Laird, N 1980; 106 Iwasaki, S; Takai, Y; Ozeki, H; Ito, K; Karino, S; Murofushi, T 2005; 131 Korres, S; Stamatiou, GA; Gkoritsa, E; Riga, M; Xenelis, J 2011; 125 Brownell, WE 1990; 11 Wu, CS; Lin, HC; Chao, PZ 2006; 11 Halmagyi, GM; Curthoys, IS 1988; 45 Byl, FM; Jr 1984; 94 Teranishi, M; Katayama, N; Uchida, Y; Tominaga, M; Nakashima, T 2007; 127 Mendes-Correa, MC; Bittar, RS; Salmito, N; Oiticica, J 2011; 15 DeKleyn, A 1944; 32 Kemp, DT 1978; 64 Harris, FP; Probst, R 1991; 12 Mori, T; Suzuki, H; Hiraki, N; Hashida, K; Ohbuchi, T; Katoh, A 2011; 38 Bittar, RS; Oiticica, J; Zerati, FE; Bento, RF 2009; 15 Kemp, DT 2002; 63 Hornsby, BW; Johnson, EE; Picou, E 2011; 32 Bittar, RSM; Sanchez, TG; Sperandio, F; Kii, M; Formigoni, LG; Bento, RF 1999; 3 Junicho, M; Fushiki, H; Aso, S; Watanabe, Y 2008; 29 Cole, RR; Jahrsdoerfer, RA 1988; 9 Yeo, SW; Lee, DH; Jun, BC; Park, SY; Park, YS 2007; 136 Park, HM; Jung, SW; Rhee, CK 2001; 545 Bonfils, P 1989; 99 Wang, CT; Huang, TW; Kuo, SW; Cheng, PW 2009; 30 |
| References_xml | – volume: 30 start-page: 110 issue: 1 year: 2009 end-page: 4 article-title: Correlation between audiovestibular function tests and hearing outcomes in severe to profound sudden sensorineural hearing loss publication-title: Ear Hear contributor: fullname: Wang, CT; Huang, TW; Kuo, SW; Cheng, PW – volume: 12 start-page: 399 issue: 6 year: 1991 end-page: 405 article-title: Reporting click-evoked and distortion-product otoacoustic emission results with respect to the pure-tone audiogram publication-title: Ear Hear contributor: fullname: Harris, FP; Probst, R – volume: 9 start-page: 211 issue: 3 year: 1988 end-page: 5 article-title: Sudden hearing loss: an update publication-title: Am J Otol contributor: fullname: Cole, RR; Jahrsdoerfer, RA – volume: 11 start-page: 151 issue: 3 year: 2006 end-page: 6 article-title: Sudden sensorineural hearing loss: evidence from Taiwan publication-title: Audiol Neurootol contributor: fullname: Wu, CS; Lin, HC; Chao, PZ – year: 2008 publication-title: National Institutes of Health – volume: 64 start-page: 1386 issue: 5 year: 1978 end-page: 91 article-title: Stimulated acoustic emissions from within the human auditory system publication-title: J Acoust Soc Am contributor: fullname: Kemp, DT – volume: 25 start-page: 245 issue: 3 year: 2004 end-page: 9 article-title: Magnetic resonance imaging findings in the auditory pathway of patients with sudden deafness publication-title: Otol Neurotol contributor: fullname: Aarnisalo, AA; Suoranta, H; Ylikoski, J – volume: 106 start-page: 772 issue: 12 year: 1980 end-page: 6 article-title: The efficacy of steroids in the treatment of idiopathic sudden hearing loss: A double-blind clinical study publication-title: Arch Otolaryngol contributor: fullname: Wilson, WR; Byl, FM; Laird, N – volume: 125 start-page: 251 issue: 3 year: 2011 end-page: 7 article-title: Prognosis of patients with idiopathic sudden hearing loss: role of vestibular assessment publication-title: J Laryngol Otol contributor: fullname: Korres, S; Stamatiou, GA; Gkoritsa, E; Riga, M; Xenelis, J – volume: 94 start-page: 647 issue: 5 Pt 1 year: 1984 end-page: 61 article-title: Sudden hearing loss: eight years' experience and suggested prognostic table publication-title: Laryngoscope contributor: fullname: Byl, FM; Jr – volume: 164 start-page: 39 issue: 1-2 year: 2002 end-page: 48 article-title: The effect of noise bandwidth on the contralateral suppression of transient evoked otoacoustic emissions publication-title: Hear Res contributor: fullname: Velenovsky, DS; Glattke, TJ – volume: 11 start-page: 144 issue: 2 year: 1990 end-page: 54 article-title: The clinical utility of distortion-product otoacoustic emissions publication-title: Ear Hear contributor: fullname: Lonsbury-Martin, BL; Martin, GK – volume: 127 start-page: 1259 issue: 12 year: 2007 end-page: 65 article-title: Thirty-year trends in sudden deafness from four nationwide epidemiological surveys in Japan publication-title: Acta Otolaryngol contributor: fullname: Teranishi, M; Katayama, N; Uchida, Y; Tominaga, M; Nakashima, T – volume: 106 start-page: 1347 issue: 11 year: 1996 end-page: 50 article-title: Sudden bilateral sensorineural hearing loss publication-title: Laryngoscope contributor: fullname: Fetterman, BL; Luxford, WM; Saunders, JE – volume: 15 start-page: 196 issue: 2 year: 2009 end-page: 202 article-title: Sudden hearing loss: a ten-year outpatient experience publication-title: Int Tinnitus J contributor: fullname: Bittar, RS; Oiticica, J; Zerati, FE; Bento, RF – volume: 545 start-page: 80 year: 2001 end-page: 3 article-title: Vestibular diagnosis as prognostic indicator in sudden hearing loss with vertigo publication-title: Acta Otolaryngol Suppl contributor: fullname: Park, HM; Jung, SW; Rhee, CK – volume: 86 start-page: 463 issue: 4Pt1 year: 1977 end-page: 80 article-title: Natural history of sudden sensorineural hearing loss publication-title: Ann Otol Rhinol Laryngol contributor: fullname: Mattox, DE; Simmons, FB – volume: 65 start-page: 1149 issue: 11 year: 2010 end-page: 553 article-title: Metabolic disorders prevalence in sudden deafness publication-title: Clinics (Sao Paulo) contributor: fullname: Oiticica, J; Bittar, RS – volume: 99 start-page: 752 issue: 7 Pt 1 year: 1989 end-page: 6 article-title: Spontaneous otoacoustic emissions: clinical interest publication-title: Laryngoscope contributor: fullname: Bonfils, P – volume: 15 start-page: 87 issue: 1 year: 2011 end-page: 9 article-title: Pegylated interferon/ribavirin-associated sudden hearing loss in a patient with chronic hepatitis C in Brazil publication-title: Braz J Infect Dis contributor: fullname: Mendes-Correa, MC; Bittar, RS; Salmito, N; Oiticica, J – volume: 131 start-page: 857 issue: 10 year: 2005 end-page: 62 article-title: Extent of lesions in idiopathic sudden hearing loss with vertigo: study using click and galvanic vestibular evoked myogenic potentials publication-title: Arch Otolaryngol Head Neck Surg contributor: fullname: Iwasaki, S; Takai, Y; Ozeki, H; Ito, K; Karino, S; Murofushi, T – volume: 11 start-page: 82 issue: 2 year: 1990 end-page: 92 article-title: Outer hair cell electromotility and otoacoustic emissions publication-title: Ear Hear contributor: fullname: Brownell, WE – volume: 38 start-page: 564 issue: 5 year: 2011 end-page: 9 article-title: Prediction of hearing outcomes by distortion product otoacoustic emissions in patients with idiopathic sudden sensorineural hearing loss publication-title: Auris Nasus Larynx contributor: fullname: Mori, T; Suzuki, H; Hiraki, N; Hashida, K; Ohbuchi, T; Katoh, A – volume: 63 start-page: 223 year: 2002 end-page: 41 article-title: Otoacoustic emissions, their origin in cochlear function, and use publication-title: Br Med Bull contributor: fullname: Kemp, DT – volume: 45 start-page: 737 issue: 7 year: 1988 end-page: 9 article-title: A clinical sign of canal paresis publication-title: Arch Neurol contributor: fullname: Halmagyi, GM; Curthoys, IS – volume: 3 start-page: 164 issue: 4 year: 1999 end-page: 70 article-title: Utilidade da Ressonancia Magnética no diagnóstico etiológico da surdez súbita publication-title: Arq Int Otorrinolaringol contributor: fullname: Bittar, RSM; Sanchez, TG; Sperandio, F; Kii, M; Formigoni, LG; Bento, RF – volume: 29 start-page: 905 issue: 7 year: 2008 end-page: 9 article-title: Prognostic value of initial electronystagmography findings in idiopathic sudden sensorineural hearing loss without vertigo publication-title: Otol Neurotol contributor: fullname: Junicho, M; Fushiki, H; Aso, S; Watanabe, Y – volume: 23 start-page: 235 issue: 3 year: 2002 end-page: 8 article-title: Vestibular evoked myogenic potentials are intact after sudden deafness publication-title: Ear Hear contributor: fullname: Wu, CC; Young, YH – volume: 32 start-page: 543 issue: 5 year: 2011 end-page: 55 article-title: Effects of degree and configuration of hearing loss on the contribution of high- and low-frequency speech information to bilateral speech understanding publication-title: Ear Hear contributor: fullname: Hornsby, BW; Johnson, EE; Picou, E – volume: 32 start-page: 407 year: 1944 end-page: 29 article-title: Sudden complete or partial loss of function of the octavus system in apparently normal persons publication-title: Acta Otolaryngol (Stockh) contributor: fullname: DeKleyn, A – volume: 136 start-page: 221 issue: 2 year: 2007 end-page: 4 article-title: Hearing outcome of sudden sensorineural hearing loss: long-term follow-up publication-title: Otolaryngol Head Neck Surg contributor: fullname: Yeo, SW; Lee, DH; Jun, BC; Park, SY; Park, YS |
| SSID | ssj0001340490 ssib055787819 |
| Score | 1.9698223 |
| Snippet | Summary
Introduction:
Sudden hearing loss (SHL) is an ENT emergency defined as sensorineural hearing loss (SNHL) ≥ 30 dB HL affecting at least 3 consecutive... Introduction: Sudden hearing loss (SHL) is an ENT emergency defined as sensorineural hearing loss (SNHL) ≥ 30 dB HL affecting at least 3 consecutive tonal... INTRODUCTION: Sudden hearing loss (SHL) is an ENT emergency defined as sensorineural hearing loss (SNHL) > 30 dB HL affecting at least 3 consecutive tonal... Summary Introduction: Sudden hearing loss (SHL) is an ENT emergency defined as sensorineural hearing loss (SNHL) ≥ 30 dB HL affecting at least 3 consecutive... |
| SourceID | doaj scielo pubmedcentral crossref thieme |
| SourceType | Open Website Open Access Repository Aggregation Database Publisher |
| StartPage | 305 |
| SubjectTerms | deafness diagnosis hearing loss hearing tests Original Article OTORHINOLARYNGOLOGY sudden vestibular function tests |
| SummonAdditionalLinks | – databaseName: Directory of Open Access Journals dbid: DOA link: http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV07b9swECbSICi6FHmibpuAQ4BMQhg-RHJsmxhe0sU1kE3gEzHQ2EEk___eibJjI0OWThRESjgeT-R3uuNHQi5lUFmYqCsEzxWsUK5ymeUqCx2DccopjbuRJ1P9-8Hc3iFNzuaoL8wJK_TARXHXnsc6phCjS1LaYL0Wyjhvtc0YEiv7yFm95UyBJSm0QzMQlfV_W4TEEBd6X4bZCkCPLmk9SKB0Pd3c5BjIQ8PvsdLOWtVT-r9NnTzAlervEi66x3l6Slur0_iQfB5gJf1RunNE9tLimHy8HwLnJ2SGLFTrs63oMlO3wjRUpNjwmIhKAXF2Le2WFAAhFM-FyXoeaCy5ePMWn2pXOE_RmFzGKfKUzMZ3f35NquFEhSooLbqK-2wiN8ob74QQQUZtcoLCsDqxaKIFDwUwn48ApFzOkUG1tMJbrlNdG3FG9hfLRfpCKEAnpyJj2QUuM4cmRvJkJQAYr26CHJGbte6a50Kc0YDDgfpuen03b_U9Ij9RyZv2SH3d3wCDaAaDaN4ziBHRO0O087bdmsX8sSfUlhitliDyVRnMZviO20FSacBLe5UUBWVltF9bvte3r_-jb9_IJ94fx4Hpwt_JfveySufkQxtXF739_wNt1ADs priority: 102 providerName: Directory of Open Access Journals |
| Title | Contribution of audiovestibular tests to the topographic diagnosis of sudden deafness |
| URI | http://dx.doi.org/10.7162/S1809-977720130003000011 https://pubmed.ncbi.nlm.nih.gov/PMC4423244 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642013000300011&lng=en&tlng=en https://doaj.org/article/b2d6decddae449c9b7358ab979f50147 |
| Volume | 17 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1NT9wwELVYhFAvVUtbdduCfKjUU9jgj7V9bCmIC1UlQOot8idEYpMVyf7_zjhZaMShEqdEiRM543H8xvP8TMhX4WXiOqgCwXMBI5QtbCpTkbgKXltppcLVyBdX6tcf_fMMZXLkdi1MJu17Vx8396vjpr7L3Mr1yi-2PLHF78tTgdlFIRYzMgNsOA3RJbqgHjXK8kQLF5jdwsBLl6YAvKMGRg9qJy2uHi8yzOGhz2eYhCLB0hicGpiMWFnY_zmBcg_Hq_sWTvq7Oq7iP2PU-RvyegSX9PvwEW_JTmwOyP7lmD5_R25Qi2q7wxVtE7UbJKOi0IZDOioF3Nl3tG8pwEI4rAc969rTMDDy6g6f6jb4t6Ih2oQ_yvfk5vzs-vSiGPdVKLxUvC-YSzowLZ12lnPuRVA6RTjochnLoIOBOAWQnwsAp2xKoYTbwnBnmIrLpeYfyG7TNvEjoQCgrAxlmaxnIjEoogWLRgCMcfLEizk52dquWg_yGRWEHWj6Kpu-em76OfmBRn4sjwLY-UL7cFuNblA5FpYh-hBsFMJ44xSX2jqjTMJMqZoTNWmiydumd8DLsqz26FVz8m1ozGrszd1YU6EhVnuqKVa0HFr7qeT_vu3Ti6v1mbxieScOZAp_Ibv9wyYeklkXNkd5HuEo94K_SBwBWQ |
| link.rule.ids | 230,315,729,782,786,866,887,2106,27933,27934,53800,53802 |
| linkProvider | National Library of Medicine |
| linkToHtml | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELZoQcCF8hQLLfiAxCld14-1fYQ-tIhuhdRW4hb5SSN1k1WT_f94nGxL1ANST4liJxpnHPsbz5fPCH3hTkSmvCwAPBdphjKFiSQWkUnvlBFGSPgbeX4uz36ro2OQyRGbf2Eyad_Zar--Xu7X1VXmVq6WbrrhiU1_LQ45ZBc5n26hx-l7JWQcpAvohGpQKctLLYxDfgtCL0V0kRCP7Dk9oJ40Pb-9SCGLB70-AyWQCRZaw-LAaM7K0v73KZRPYMa6btJJd1WFZfhnljrZeWD7XqIXAyzF3_riV-hRqF-jp4sh8f4GXYKK1WZvLNxEbNZAYwWJDgtEVpwQa9firsEJUKbDqlfCrhz2PZevauGudg3jHPbBRBhi36LLk-OLw3kx7MhQOCFZV1AbladKWGUNY8xxL1UM6aDILBCvvE4RTsKM1icgZmL0JBVzzaymMsxmir1D23VTh_cIJ-hlhCckGkd5pKmK4jRongCQFQeOT9DB5p2Xq154o0wBC7iszC4r77tsgr6Dc27rg3R2vtDc_CmHF1xa6mc-OO9N4Fw7bSUTylgtdYQcq5wgOXLt6GnjkuS_LMg9-GuCvvadoBzGgXawlKsU5d1ZCoaSvpfc1fxf2z482KzP6Nn8YnFanv44-_kRPad5Pw_gG--i7e5mHfbQVuvXn_I39Bf1hhXj |
| linkToPdf | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwELZoQRUX3ojl6QMSpzSuH2v7CG1XRdCqUqnELfKTRuomqyb7__E42S1RD0hwcuQ40STj2N94vnxG6CN3IjLlZQHguUgzlClMJLGITHqnjDBCwt_IJxfy7Kc6OgaZnO1WX5m072y931wv95v6KnMrV0tXbnhi5fnpIYfsIuflysdyB91P3yyh00BdQEdUo1JZXm5hHHJcEH4poouEeuTA6wEFpfJiW0khkwc9P4MlkAoWWsMCwWTeyvL-d2mUD2DWum7TQX9Vh2X4Y6ZaPP6PZ3yCHo3wFH8emjxF90LzDO2djgn45-gS1Kw2e2ThNmKzBjorSHVYILTihFz7DvctTsAyFatBEbt22A-cvrqDq7o1jHfYBxNhqH2BLhfHPw5PinFnhsIJyfqC2qg8VcIqaxhjjnupYkiFIvNAvPI6RToJO1qfAJmJ0ZN0mmtmNZVhPlfsJdpt2ia8QjhBMCM8IdE4yiNNTRSnQfMEhKw4cHyGDjbvvVoNAhxVClzAbVV2W3XXbTP0BRy0bQ8S2rmivflVjS-5stTPfXDem8C5dtpKJpSxWuoIuVY5Q3Li3sndpmeSD7Mw9-izGfo0dIRqHA-60VKuUrR3aykYSoaectvyb8_2-p_N-oD2zo8W1fevZ9_eoIc0b-sBtOO3aLe_WYd3aKfz6_f5M_oN84wYYw |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Contribution+of+audiovestibular+tests+to+the+topographic+diagnosis+of+sudden+deafness&rft.jtitle=International+Archives+of+Otorhinolaryngology&rft.au=Oiticica%2C+Jeanne&rft.au=Bittar%2C+Roseli+Saraiva+Moreira&rft.au=Castro%2C+Claudio+Campi+de&rft.au=Grasel%2C+Signe&rft.date=2013-07-01&rft.pub=Thieme+Publica%C3%A7%C3%B5es+Ltda&rft.issn=1809-9777&rft.eissn=1809-4864&rft.volume=17&rft.issue=3&rft.spage=305&rft.epage=314&rft_id=info:doi/10.7162%2FS1809-977720130003000011&rft_id=info%3Apmid%2F25992027&rft.externalDBID=PMC4423244 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1809-9777&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1809-9777&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1809-9777&client=summon |