Sudden Bilateral Sensorineural Hearing Loss Following Speedballing

Sudden Bilateral Sensorineural Hearing Loss Following Speedballing
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DOI:
10.3766/jaaa.19.6.2
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发表时间:
2008-06-01
影响因子:
1.2
通讯作者:
King, Jennifer L.
King, Jennifer L.
中科院分区:
医学4区
文献类型:
--
作者:
Fowler, Cynthia G.;King, Jennifer L.

文献摘要

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背景:听力损失是娱乐性药物滥用的一个罕见的后果。虽然有零星的因单独摄入海洛因和可卡因而导致听力损失的报道,但没有因以快速球运动的形式同时摄入两种药物而导致听力损失的报道。 目的:本报告的目的是记录一例与快速球运动相关的双侧感音神经性听力损失病例。 研究设计:病例报告数据收集和分析:本报告的对象是一名有 20 年药物滥用史的 40 岁男性。收集的数据包括病史、纯音测听、鼓室导抗和声反射以及瞬态诱发耳声发射。结果:听力学评估表明存在轻度至中度、相对平坦的双侧感音神经性听力损失,右耳更严重。结论:涉及耳蜗和神经病理学的双侧感音神经性听力损失可能是可卡因、海洛因或两种药物组合的罕见并发症。
Background: Hearing loss is an infrequently-reported consequence of recreational drug abuse. Although there are sporadic reports of hearing loss from heroin and cocaine ingested separately, there are no reports of hearing loss resulting from the combination of both drugs ingested simultaneously in the form of speedballing.Purpose: The purpose of this report is to document a case of bilateral sensorineural hearing loss associated with an episode of speedballing.Research Design: Case ReportData Collection and Analysis: The subject of this report was a 40-year-old man with a 20-year history of substance abuse. Data collected included a case history, pure tone audiometry, tympanometry and acoustic reflexes, and transient evoked otoacoustic emissions.Results: The audiologic evaluation indicated a mild to moderate, relatively flat, bilateral sensorineural hearing loss that was worse in the right ear.Conclusions: A bilateral sensorineural hearing loss involving both cochlear and neural pathology may be a rare complication of cocaine, heroin, or the combination of the two drugs.