A Case of Alcohol Induced Peripheral Neuropathy with Bilateral Sensory-Neural Hearing Loss
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Our patient, a 32 years old male presented with chief complains of progressive bilateral hearing loss since last 8 months, burning and tingling sensation (paresthesia) in bilateral lower limbs and difficulty in walking gradually worsening since last 4 month. Clinical examination revealed loss of pain, temperature, fine touch, joint position and vibration sense in bilateral lower limbs below ankle. Deep tendon reflexes were absent, power and tone were maintained in all the limbs. Clinically, patient was diagnosed to have bilateral hearing loss with sensory neuropathy. Only positive history is of patient being a hypertensive since 4 years on tablet Telmisartan and a chronic alcoholism since 8 to 10 years in abstinence since 4 months. Nerve conduction study revealed predominantly sensory, lower limb, Axonal peripheral neuropathy affecting large fibers. Neuroimaging (MRI brain - plain) revealed no abnormality. ENT examination and hearing assessment concluded bilateral sensory-neural hearing loss. After excluding all possible causes, toxic neuropathy wasconsidered. Sensory-neural hearing loss is uncommon in alcoholic peripheral neuropathy, and we suggest hearing assessment in all patients with peripheral neuropathy, especially of toxic etiology.
Authors and Affiliations
Manjiri Naik, Aseemsaifan, Hemang Vaniya, Umar Quadri
Keywords
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