Audiovestibular Symptoms in Patients With Idiopathic Hypertrophic Pachymeningitis : Systematic Literature Review

Copyright © 2020 Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. Published by Elsevier España, S.L.U. All rights reserved..

BACKGROUND AND OBJECTIVE: Hypertrophic pachymeningitis is an infrequent inflammatory disease resulting in thickening and fibrosis of the dura mater. In most cases, the cause in unknown and is called idiopathic hypertrophic pachymeningitis (IHP). Audiovestibular symptoms are infrequent and the pathogenesis is still unclear.

MATERIALS AND METHODS: A systematic literature review of cases with IHP and vestibular symptoms from 2000 to February 2020 was performed. PRISMA Checklist was followed and PubMED database, Web of Science and Cochrane library were searched. We report a case of an adolescent with a diagnosis of vestibular neuritis in the context of IHP attended in our clinic.

RESULTS: We reviewed 5 articles related to IHP and vestibular disorders. A total of 7 cases (5 women and 2 men), with ages between 27 and 68 years with IHP were found. They all had audiovestibular symptoms. In contrast to our patient, uni or bilateral neurosensorial hearing loss was reported in all cases. Furthermore, there is no other case report published describing the association between IHP and vestibular neuritis. High dose steroids improved symptoms in 85.7% of the patients.

CONCLUSION: Vestibular symptoms in IHP are uncommon and the pathogenesis is still debatable. Entrapment of nerves in the internal auditory canal and secondary neuronal damage could be suspected as the main cause of hearing and vestibular loss.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:72

Enthalten in:

Acta otorrinolaringologica espanola - 72(2021), 6 vom: 30. Nov., Seite 387-393

Sprache:

Englisch

Beteiligte Personen:

López-Simón, Eugenia [VerfasserIn]
Corriols-Noval, Patricia [VerfasserIn]
Castillo-Ledesma, Nathalia [VerfasserIn]
Rodríguez-Martín, Minerva [VerfasserIn]
Morales-Angulo, Carmelo [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Dizziness
Hearing loss
Hipoacusia
Hypertrophic pachymeningitis
Journal Article
Neuritis vestibular
Paquimeningitis hipertrófica
Review
Systematic Review
Vértigo
Vestibular neuritis

Anmerkungen:

Date Completed 03.12.2021

Date Revised 14.12.2021

published: Print

Citation Status MEDLINE

doi:

10.1016/j.otoeng.2020.08.006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333817214