Neuro-otologic manifestations of tuberculosis. "The great imitator"

作者：Diplan Rubio Johanna Miguelina; Vega Alarcon Alfredo; Palma Diaz Marite; Vales Olivia; Hinojosa Ramon; Morales del Angel Josefina; Romero Dina; Sanchez Yolanda

来源：American Journal of Otolaryngology, 2015, 36(3): 467-471.

DOI：10.1016/j.amjoto.2015.01.018

Objective: To demonstrate the different neuro-otologic clinical presentations of tuberculosis.
Study design: Retrospective clinical analysis.
Result: 83.3% of the cases of ear or central nervous system TB were without concomitant lung disease. 2 cases had primary infection in the central nervous system. The neurootologic manifestation was as follows: 85.7% sensorineural hearing loss; 42% polyneuropathy. 71.4% had granulation tissue. 2 had normal otoscopy. In 6 patients the histopathology and Ziehl Neelsen were confirmatory. One case was confirmed by the positive response to treatment with antituberculosis drugs.
Conclusions: Tuberculosis has a wide variety of neurotologic manifestations from chronic otitis media cadres to vestibular, audiological and neurological manifestations as well as a large variability in imaging studies.

• 出版日期2015-6