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Otologic involvement in late syphilis
Author(s) -
Steckelberg James M.,
Mcdonald Thomas J.
Publication year - 1984
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198406000-00005
Subject(s) - syphilis , endolymphatic hydrops , vertigo , medicine , audiology , hearing loss , sensorineural hearing loss , pediatrics , dermatology , meniere's disease , surgery , immunology , human immunodeficiency virus (hiv)
In 38 patients with cochleovestibular dysfunction and no cause other than syphilis (congenital in 15, acquired in 23), there was no characteristic pattern to the dysfunction. Sensorineural hearing loss was present in all (bilateral in 82%, unilateral in 18%), and 42% had episodic rotatory vertigo. Only 24% had the classic triad of symptoms of endolymphatic hydrops. The impairment was less in the first 5 years of hearing loss than in subsequent intervals; the average impairments were comparable in the second through fifth decades.