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Vestibular dysfunction in patients with post-mumps sensorineural hearing loss

  • M M El-Badry (a1), A Abousetta (a2) and R M A Kader (a1)

Abstract

Objective:

To study the possible damage to the vestibular system in patients with post-mumps sensorineural hearing loss.

Methods:

Nineteen patients with recent mumps infection participated in the study. All patients had unilateral profound sensorineural hearing loss or total hearing loss. Patients were subjected to video-nystagmography and vestibular-evoked myogenic potential testing.

Results:

Eight patients (42.1 per cent) had normal video-nystagmography results and intact vestibular-evoked myogenic potentials on both sides, whereas the other 11 patients (57.9 per cent) had vestibular lesions in the form of marked canal weakness and absent vestibular-evoked myogenic potential responses on the same side as hearing loss. The overall findings indicated a peripheral site for the lesions.

Conclusion:

The majority of patients with post-mumps sensorineural hearing loss had peripheral vestibular pathology in the same ear as hearing loss. Further research should be directed to saving the inner ear following mumps infection.

Copyright

Corresponding author

Address for correspondence: Dr M M El-Badry, Audiology Unit, Otolaryngology Department, Minia University Hospital, Minia, Egypt E-mail: elbadrymm@hotmail.com

References

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1Jubelt, B. Enterovirus and mumps virus infections of the nervous system. Neurol Clin 1984;2:187213
2Stokes, J. Recent advances in immunization against viral diseases. Ann Intern Med 1970;73:829–40
3Nussinovitch, M, Volovitz, B, Varsano, I. Complications of mumps requiring hospitalization in children. Eur J Pediatr 1995;154:732–4
4Gabutti, G, Rota, M, Salmaso, S, Bruzzone, BM, Bella, A, Crovari, P. Epidemiology of measles, mumps and rubella in Italy. Epidemiol Infect 2002;129:543–50
5Nardone, A, Pebody, RG, van den Hof, S, Levy-Bruhl, D, Plesner, AM, Rota, MC et al. Sero-epidemiology of mumps in Western Europe. Epidemiol Infect 2003;131:691701
6Reaney, EA, Tohani, VK, Devine, MJ, Smithson, RD, Smyth, B. Mumps outbreak among young people in Northern Ireland. Commun Dis Public Health 2001;4:311–15
7Pugh, RN, Akinosi, B, Pooransingh, S, Kumar, J, Grant, S, Livesly, E et al. An outbreak of mumps in the metropolitan area of Walsall, UK. Int J Infect Dis 2002;6:283–7
8Crowley, B, Afzal, MA. Mumps virus reinfection – clinical findings and serological vagaries. Commun Dis Public Health 2002;5:311–13
9Kanzaki, J, Nomura, Y. Incidence and prognosis of acute profound deafness in Japan. Auris Nasus Larynx 1986;13:71–7
10Tieri, L, Masi, R, Ducci, M, Marsella, P. Unilateral sensorineural hearing loss in children. Scand Audiol Suppl 1988;30:33–6
11Hydén, D. Mumps labyrinthitis, endolymphatic hydrops and sudden deafness in succession in the same ear. ORL J Otorhinolaryngol Relat Spec 1996;58:338–42
12Morrison, A, Booth, JB. Sudden deafness: an otological emergency. Br J Hosp Med 1970;4:287–98
13Vuori, M, Lahikainen, EA, Peltonen, T. Perceptive deafness in connection with mumps: a study of 298 servicemen suffering from mumps. Acta Otolaryngol 1962;55:231–6
14Kanra, G, Kara, A, Cengiz, AB, Isik, P, Ceyhan, M, Atas, A. Mumps meningoencephalitis effect on hearing. Pediatr Infect Dis J 2002;21:1167–9
15Wright, KE. Mumps. In: Newton, VE, Valley, PJ, eds. Infection and Hearing Impairment. Chichester, England: John Wiley, 2006;109–26
16Hydén, D, Ödkvist, LM, Kylén, P. Vestibular symptoms in mumps deafness. Acta Otolaryngol Suppl 1979;360:182–3
17Yanagita, N, Murahashi, K. A comparative study of mumps deafness and idiopathic profound sudden deafness. Arch Otorhinolaryngol 1986;243:197–9
18Yamamoto, M, Watanabe, Y, Mizukoshi, K. Neurotological findings in patients with acute mumps deafness. Acta Otolaryngol Suppl 1993;504:94–7
19Tsubota, M, Shojaku, H, Ishimaru, H, Fujisaka, M, Watanabe, Y. Mumps virus may damage the vestibular nerve as well as the inner ear. Acta Otolaryngol 2008;128:644–7
20Becker, GD. The screening value of monothermal caloric tests. Laryngoscope 1979;89:311–14
21Rosengren, SM, Welgampola, MS, Colebatch, JG. Vestibular evoked myogenic potentials: past, present and future. Clin Neurophysiol 2010;121:636–51
22Mizushima, N, Murakami, Y. Deafness following mumps: the possible pathogenesis and incidence of deafness. Auris Nasus Larynx 1986;13(suppl 1):S55–7
23Westmore, GA, Pickard, BH, Stern, H. Isolation of mumps virus from the inner ear after sudden deafness. Br Med J 1979;1:1415
24Lindsay, JR, Davey, PR, Ward, H. Inner ear pathology in deafness due to mumps. Ann Otol Rhinol Laryngol 1960;69:918–35
25Smith, GA, Gussen, R. Inner ear pathologic features following mumps infection. Arch Otolaryngol 1976;102:108–11
26Davis, LE, Shurin, S, Johnson, RT. Experimental viral labyrinthitis. Nature 1975;254:329–31
27Comacchio, F, D'Eredità, R, Marchiori, C. MRI evidence of labyrinthine and eighth nerve bundle involvement in mumps virus sudden deafness and vertigo. ORL J Otorhinolaryngol Relat Spec 1996;58:295–7
28Goldberg, JM, Smith, CE, Fernández, C. Relation between discharge regularity and responses to externally applied galvanic currents in vestibular nerve afferents of the squirrel monkey. J Neurophysiol 1984;51:1236–56
29Ito, M, Go, T, Okuno, T, Mikawa, M. Chronic mumps virus encephalitis. Pediatr Neurol 1991;7:467–70

Keywords

Vestibular dysfunction in patients with post-mumps sensorineural hearing loss

  • M M El-Badry (a1), A Abousetta (a2) and R M A Kader (a1)

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