RESUMEN
Wilson's disease is a rare genetic disease involving the malabsorption of copper by the body. The most common characteristic sign is the presence of Kayser-Fleischner ring surrounding the cornea. Other systemic and motor signs have been documented as well as MRI changes within the brain and brainstem. This rare case illustrates the potential importance of audiometric assessment for patients with Wilson's disease who complain of hearing loss, tinnitus and intra-aural pressure. Unilateral findings were significant for retrocochlear neural transmission delays.
Asunto(s)
Audiometría de Respuesta Evocada , Electrofisiología , Pérdida Auditiva Sensorineural/diagnóstico , Degeneración Hepatolenticular/diagnóstico , Adulto , Audiometría , Diagnóstico Diferencial , Pérdida Auditiva Sensorineural/fisiopatología , Degeneración Hepatolenticular/fisiopatología , Humanos , Masculino , AcúfenoRESUMEN
A case of unilateral, sudden sensorineural hearing loss and possible perilymphatic fistula as the result of cliff jumping into water is presented. The physiological mechanisms contributing to such a barotraumatic auditory injury are described. A conservative treatment protocol is reviewed as well as documented hearing recovery.