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Hipoacusia súbita en una adolescente: diagnóstico diferencial
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Barrera Segura, E. Cañadell Yetano, C. Parra Cotanda, M.C. Sánchez Garre, P. Glasmeyer, J. Quilis Esquerra" "autores" => array:6 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Barrera Segura" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Cañadell Yetano" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Parra Cotanda" ] 3 => array:2 [ "nombre" => "M.C." "apellidos" => "Sánchez Garre" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Glasmeyer" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Quilis Esquerra" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403307703491?idApp=UINPBA00005H" "url" => "/16954033/0000006600000002/v2_201308271339/S1695403307703491/v2_201308271339/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1695403307703478" "issn" => "16954033" "doi" => "10.1016/S1695-4033(07)70347-8" "estado" => "S300" "fechaPublicacion" => "2007-02-01" "aid" => "70347" "copyright" => "Asociación Española de Pediatría" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "abs" "cita" => "An Pediatr (Barc). 2007;66:208" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1373 "formatos" => array:3 [ "EPUB" => 86 "HTML" => 792 "PDF" => 495 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Pósters</span>" "titulo" => "Carcinoma nasofaríngeo en la adolescencia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "208" ] ] "contieneResumen" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "B. Nieto, D. Fernández, M. Muriel, V. Murga, G. García, A. Gimeno" "autores" => array:6 [ 0 => array:2 [ "nombre" => "B." "apellidos" => "Nieto" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Fernández" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Muriel" ] 3 => array:2 [ "nombre" => "V." "apellidos" => "Murga" ] 4 => array:2 [ "nombre" => "G." "apellidos" => "García" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Gimeno" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403307703478?idApp=UINPBA00005H" "url" => "/16954033/0000006600000002/v2_201308271339/S1695403307703478/v2_201308271339/es/main.assets" ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Pósters</span>" "titulo" => "Hipoacusia súbita en una adolescente: diagnóstico diferencial" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "208" "paginaFinal" => "209" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "D. Moreno Jiménez, B. Nieto Almeida, M. Gómez Serrano, F. Gómez Toranzo" "autores" => array:4 [ 0 => array:3 [ "nombre" => "D." "apellidos" => "Moreno Jiménez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff1" ] ] ] 1 => array:3 [ "nombre" => "B." "apellidos" => "Nieto Almeida" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Gómez Serrano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "F." "apellidos" => "Gómez Toranzo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de ORL. Hospital Virgen de la Vega. Salamanca" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Pediatría. Hospital Universitario de Salamanca. España" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff2" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:1 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La hipoacusia súbita es una pérdida brusca de audición de origen neurosensorial, adquirida y habitualmente unilateral. Es extremadamente infrecuente en la infancia y en la adolescencia aumentando su incidencia en la edad adulta. Constituye el 1% del total de las hipoacusias neurosensoriales. No se conoce la fisiopatología exacta. Se cree que las infecciones virales son la causa más frecuente.</p> <span class="elsevierStyleSectionTitle">Caso clínico</span><p class="elsevierStyleSimplePara elsevierViewall">Mujer de 14 años de edad que presenta pérdida brusca de audición de oído derecho (OD) de 2 meses de evolución sin recuperación posterior. Tratada con 2 ciclos de antibióticos (orales y tópicos) sin mejoría alguna. Antecedentes personales: sin interés. No factores de riesgo de sordera neurosensorial. Antecedentes familiares: sin interés. Sin historia de sordera. Exploración ORL: otoscopia normal en ambos oídos. Resto sin hallazgos patológicos. Exploración neurológica: pares craneales normales. Pruebas complementarias: audiometría tonal: OI → 10 dB; OD → 80 dB. Reflejos estapedianos e impedanciometría: normal. Resonancia magnética (RM) (fosa posterior cerebral y conducto auditivo interno): normal. Analítica: normal. Serologías: negativas. Tras la realización de audiometrías periódicas bimensuales durante un año, sin mejoría del cuadro y RM normal, habiéndose descartado otras posibles causas de sordera diagnóstica de hipoacusia súbita de OD.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El diagnóstico diferencial de la sordera de aparición brusca ha de realizarse buscando su origen en el oído externo (tapones de cera, otorrea, etc.) oído medio (otitis seromucosa, otitis media aguda, ototubaritis, etc.) y oído interno (esclerosis múltiple, neurinoma de VIII par, vasculopatías, etc.). Su diagnóstico es de exclusión. En la actualidad la efectividad del tratamiento (corticoides en la primera semana) es controvertida. Dos tercios de los pacientes pueden recuperar audición, total o parcialmente.</p>" ] ] ] "idiomaDefecto" => "es" "url" => "/16954033/0000006600000002/v2_201308271339/S169540330770348X/v2_201308271339/es/main.assets" "Apartado" => array:4 [ "identificador" => "14291" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Secciones de la A.E.P." "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/16954033/0000006600000002/v2_201308271339/S169540330770348X/v2_201308271339/es/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540330770348X?idApp=UINPBA00005H" ]
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