Acute Serous Otitis Media Complicated by Pneumolabyrithitis: A Case Report
Azhenov T. Kogay D. Sartova Z. Bakirova K.
2025Professionalnye Izdaniya
Eurasian Otorhinolaryngology and Audiology
2025#15Issue 3434 - 442 pp.
The article presents a clinical case of a 35-year-old female patient with complaints of acute systemic dizziness, hearing loss in the left ear, pain in the left ear, and subfebrile temperature. The symptoms appeared suddenly, with no previous middle or inner ear surgeries, and nor a history of temporal bone trauma. The diagnosis was established based on the clinical picture, as well as instrumental and laboratory research data. Computer tomography (CT) of the temporal bones revealed the presence of air bubbles in the internal structures of the left ear (vestibule and semicircular canals). Magnetic resonance imaging (MRI) of the brain was performed to exclude vertigo of the central genesis. Symptoms of vertigo were relieved by shunting the eardrum in combination with conservative therapy, including antibiotics, glucocorticosteroids and nonsteroidal anti-inflammatory drugs (NSAIDs). However, it was not possible to restore hearing in the left ear. Control CT of the temporal bones 6 months later revealed sclerotic changes in the cochlea. Six months after the treatment completion, the patient remains completely deaf in the left ear, while symptoms of vertigo are completely resolved.
acute otitis media , labyrinthitis , pneumolabyrinth , sensorineural hearing loss , vertigo
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Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan, Astana, Kazakhstan
Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan
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