TY - JOUR
T1 - Acute-onset unilateral psychogenic hearing loss in adults
T2 - Report of six cases and diagnostic pitfalls
AU - Oishi, Naoki
AU - Kanzaki, Sho
AU - Kataoka, Chinatsu
AU - Tazoe, Mami
AU - Takei, Yasuhiko
AU - Nagai, Keiichi
AU - Kohno, Naoyuki
AU - Ogawa, Kaoru
PY - 2009/11
Y1 - 2009/11
N2 - We encountered 6 rare cases of acute-onset unilateral psychogenic hearing loss in adults. All were women in their 20s and 30s. Three cases had severe hearing impairment characterized by hearing loss at every frequency; 2 cases had profound hearing impairment, and 1 case had low-frequency hearing impairment. Of the 6 cases, 3 had a history of hearing loss, and 1 had a history of psychogenic visual disturbance. All 6 cases were initially diagnosed as having idiopathic sudden sensorineural hearing loss; all subsequently received steroid therapy. Three cases were not diagnosed as being psychogenic in origin until otoacoustic emissions and auditory brain responses were performed. Although the presence of distinctive clinical features (age, gender, and past history) is important for suspecting psychogenic hearing loss, objective audiological tests such as otoacoustic emissions are essential for diagnosing some cases. Compared to the existing reports of similar cases, our cases had a poorer prognosis (only 2 cases were cured).
AB - We encountered 6 rare cases of acute-onset unilateral psychogenic hearing loss in adults. All were women in their 20s and 30s. Three cases had severe hearing impairment characterized by hearing loss at every frequency; 2 cases had profound hearing impairment, and 1 case had low-frequency hearing impairment. Of the 6 cases, 3 had a history of hearing loss, and 1 had a history of psychogenic visual disturbance. All 6 cases were initially diagnosed as having idiopathic sudden sensorineural hearing loss; all subsequently received steroid therapy. Three cases were not diagnosed as being psychogenic in origin until otoacoustic emissions and auditory brain responses were performed. Although the presence of distinctive clinical features (age, gender, and past history) is important for suspecting psychogenic hearing loss, objective audiological tests such as otoacoustic emissions are essential for diagnosing some cases. Compared to the existing reports of similar cases, our cases had a poorer prognosis (only 2 cases were cured).
KW - Acute onset
KW - Adults
KW - Psychogenic hearing loss, unilateral
UR - http://www.scopus.com/inward/record.url?scp=70350163818&partnerID=8YFLogxK
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U2 - 10.1159/000251195
DO - 10.1159/000251195
M3 - Article
C2 - 19851081
AN - SCOPUS:70350163818
VL - 71
SP - 279
EP - 283
JO - ORL; journal for oto-rhino-laryngology and its related specialties
JF - ORL; journal for oto-rhino-laryngology and its related specialties
SN - 0301-1569
IS - 5
ER -