Deafness following mumps: the possible pathogenesis and incidence of deafness

Auris, Nasus, Larynx
N Mizushima, Y Murakami

Abstract

Mumps is thought to be the most common cause of unilateral acquired sensorineural deafness in children. Mumps deafness is usually sudden in onset, profound or complete, and may be associated with vestibular symptoms. The authors' clinical survey of 55 patients with unilateral deafness which could reasonably be ascribed to mumps indicates that the hearing loss is exclusively unilateral, severe or total and permanent, and that approximately 45% of the patients experienced dysequilibrium of vestibular origin. An analysis of the present series of mumps deafness also suggests that the primary route of invasion of the virus is hematogenous, and thus the term "viral endolymphatic labyrinthitis" is proposed as the possible pathogenesis of the deafness, since both tympanogenic and meningogenic routes of viral invasion to the labyrinth can be excluded on the basis of the clinical and cerebrospinal fluid studies. This view of the pathogenesis, particularly that mumps meningitis is not associated with deafness, is supported by several reports including those of Vuori et al. (1962), Azimi et al., (1969), Lindsay (1973), Nadol (1978), etc. The incidence of deafness following mumps appears to be extremely low, approximately 1:20,000, as estim...Continue Reading

References

Feb 1, 1976·Archives of Otolaryngology·G A Smith, R Gussen
Oct 1, 1973·Archives of Otolaryngology·J R Lindsay
Nov 1, 1957·Acta Oto-laryngologica·G EVERBERG
Sep 1, 1960·The Annals of Otology, Rhinology, and Laryngology·J R LINDSAYP H WARD

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Citations

Sep 18, 2014·The Journal of Pathology·Steven RubinW Paul Duprex
Mar 18, 2015·The Journal of Laryngology and Otology·M M El-BadryR M A Kader
Nov 18, 2016·Emergency Radiology·Vijetha Vinod MallerKathleen J Helton
Feb 1, 2008·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Carlos A OliveiraMercedes F S Araújo
Aug 1, 1995·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·E BangL R Christensen
Feb 24, 2015·The Journal of Laryngology and Otology·T NodaS Komune
Jan 1, 2003·The Pediatric Infectious Disease Journal·Güler KanraAhmet Ataş

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