STUDY OF HEARING OUTCOMES IN SUDDEN SENSORINEURAL HEARING LOSS TREATED WITH TISSUE PLASMINOGEN ACTIVATOR (TPA)
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 36
Abstract
Sudden Sensorineural Hearing Loss (SSHNL) is a clinical condition that requires immediate management. There are many treatment options, which may not always revert the hearing to normal. Not only recording the degree of hearing loss, but also establishing the concurrent dysfunction of saccule by VEMP has facilitated a new approach to treatment strategy. Recombinant tissue Plasminogen Activator ((rtPA) proved its efficacy in stroke and subsequently considered an option in the management of ISSNHL. The current study, conducted at different centres, on 15 patients utilized rtPA. The results showed a promising trend when saccular pathology is also evident by VEMP in association with Hearing loss. We recommend use of rtPA as primary modality in cases of ISSNHL with Saccular involvement.
Authors and Affiliations
Rama Krishna Tirumalabukkapatnam, Jagannatha Prasad B. , Jyothi Ramakrishna, Khalsa Gurbeer Kaur, Syeda Ayesha, Devika Shere
Keywords
Related Articles
- EP ID EP232909
- DOI 10.18410/jebmh/2015/776
- Views 60
- Downloads 0
IMMUNOHISTOCHEMICAL STUDY OF INVASIVE SQUAMOUS CELL CARCINOMA OF UTERINE CERVIX AND CERVICAL INTRAEPITHELIAL NEOPLASIA USING Bcl-2, p53 AND Ki-67
BACKGROUND p53 plays a key role in malignant transformation of cervical epithelium. Bcl-2 is a regulator of apoptosis and is expressed in a variety of cancers. Ki-67 is a proliferation marker. MATERIALS AND METHODS Retro...
COMPARISION OF DEXMEDETOMIDINE AND CLONIDINE WITH ROPIVACAINE BY EPIDURAL ROUTE IN PATIENTS UNDERGOING LOWER ABDOMINAL SURGERIES
BACKGROUND Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage or as described in terms of such damage. Regional anesthetic procedure is a need for local anesthetic wi...
A STUDY OF CARDIAC DISEASES IN PATIENTS WITH CHRONIC KIDNEY DISEASE
BACKGROUND The heart and the kidneys are tightly interlinked with each other. So, primary disorder of one of these organs often results in the secondary dysfunction of other. The patients with CKD most of the times die f...
COMPARISON BETWEEN 0.5% BUPIVACAINE-DEXAMETHASONE COMBINATION & 0.5% BUPIVACAINE - CLONIDINE COMBINATION IN BRACHIAL PLEXUS BLOCKS BY SUPRACLAVICULAR APPROACH
BACKGROUND: Brachial plexus blocks, alone or in combination with general anesthesia, has become one of the most important anesthesia techniques for surgeries in the upper limb. Prolongation of analgesia using perineural...
CLINICAL CHARACTERISTICS AND RADIOLOGICAL MANIFESTATIONS IN INFLUENZA A AND (H1N1) SWINE FLU INFECTION: OUR EXPERIENCE
BACKGROUND The study was carried out during July 2017 through October 2017 when there was a seasonal epidemic of influenza like illness (ILI) in Odisha. MATERIALS AND METHODS We collected data of 36 cases confirmed out o...