Hipoacusia sensorineural asimétrica en el diagnóstico de schwannoma vestibular

Asymmetric sensorineural hearing loss in the diagnosis of vestibular schwannoma

Publicado 2022-02-05

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Vol. 4 Núm. 1 (2022)
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Artículo de reflexión
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1.
Hipoacusia sensorineural asimétrica en el diagnóstico de schwannoma vestibular. Rev. Investig. Innov. Cienc. Salud [Internet]. 2022 Feb. 5 [cited 2024 Nov. 23];4(1):109-24. Available from: https://riics.info/index.php/RCMC/article/view/61
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https://doi.org/10.46634/riics.61
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Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.

Heloisa Coutinho de Toledo
Otoneurología; Hospital Médica Sur; Ciudad de México; México.
    https://orcid.org/0000-0002-7435-7446
    Erika Celis-Aguilar
    Otolaryngology and Neurotology Department; Center of Research and Teaching in the Health Sciences; Culiacan Civil Hospital; Autonomous University of Sinaloa; Culiacan; Mexico.
      https://orcid.org/0000-0003-2210-7637
      Mostrar biografía de los autores

      Introducción: se ha descrito que los pacientes con hipoacusia asimétrica cursan en un 2% con lesiones retrococleares. La conducta de escrutinio se ha basado en la audiometría. Existen varias definiciones de asimetría audiométrica descritas en la literatura, pero sin llegar a un consenso. Aunque la prueba de oro para el diagnóstico de schwannoma vestibular es la resonancia magnética con gadolíneo, la sospecha clínica se hace en base a la asimetría audiométrica.

      Objetivo: hacemos una revisión de los trabajos publicados al respecto en la literatura y comentamos nuestra experiencia.

      Reflexión: queremos enfatizar en la importancia de estudiar a los pacientes con hipoacusia asimétrica con el fin de descartar patología retrococlear.

      Conclusión: a pesar de que no existe un consenso claro en la definición de hipoacusia asimétrica, la sospecha clínica de un schwannoma vestibular se basa en la audiometría.

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