PMID: 15241244Jul 9, 2004Paper

Chronic pachymeningitis presenting as asymmetric sensorineural hearing loss

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
John S OghalaiRobert K Jackler

Abstract

The objective of this study was to characterize the auditory dysfunction associated with chronic pachymeningitis (inflammation of the dura mater). We conducted a university-based retrospective review. Three patients were identified who were diagnosed with chronic pachymeningitis after being referred for asymmetric sensorineural hearing loss. All patients were found to have other neurologic symptoms and signs during careful neurotologic evaluation. Two varieties of chronic pachymeningitis exist: a hypertrophic mass lesion and a linear dural thickening. Although the hypertrophic variety could be easily detectable by noncontrast magnetic resonance imaging (MRI), the linear form is only visible with the use of gadolinium enhancement. Chronic pachymeningitis is a rare form of sensorineural hearing loss that could portend an underlying disease of greater concern. Extensive evaluation is needed to exclude identifiable causes of chronic pachymeningitis, including infectious, neoplastic, and autoimmune diseases. The clinician should be aware that the evaluation of a patient with asymmetric sensorineural hearing loss involves more than simply ruling out an acoustic neuroma. Fast-spin echo MRI techniques without the use of gadolinium cont...Continue Reading

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Citations

Sep 29, 2006·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Shinichi IwasakiMasashi Sugasawa
Jun 7, 2013·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Aron PollackPamela C Roehm
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Jun 26, 2018·The Annals of Otology, Rhinology, and Laryngology·Thomas MuellemanHinrich Staecker
Aug 16, 2016·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Filippo Di LellaVincenzo Vincenti
Sep 29, 2011·Clinical and Experimental Otorhinolaryngology·Eun-Jung LimSang-Heun Lee
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Mar 3, 2021·Acta otorrinolaringológica española·Eugenia López-SimónCarmelo Morales-Angulo

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