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Case Reports in Otolaryngology
Volume 2017, Article ID 3281984, 6 pages
https://doi.org/10.1155/2017/3281984
Case Report

Recovery from Repeated Sudden Hearing Loss in a Patient with Takayasu’s Arteritis Treated with Hyperbaric Oxygen Therapy: The First Report in the Literature

1Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy
2Department of Sense Organs, Sapienza University of Rome, Rome, Italy

Correspondence should be addressed to Massimo Ralli; ti.1amorinu@illar.omissam

Received 14 June 2017; Accepted 2 August 2017; Published 10 September 2017

Academic Editor: Dimitrios G. Balatsouras

Copyright © 2017 Massimo Ralli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hearing loss has been rarely reported in Takayasu’s arteritis, may present as Sudden Sensorineural Hearing Loss, and usually responds well to corticosteroid therapy. Hyperbaric Oxygen Therapy is commonly used as a supplementary treatment to corticosteroids for Sudden Sensorineural Hearing Loss. We present the case of a 36-year-old woman with Takayasu’s arteritis who had two episodes of sudden hearing loss involving one ear at a time with an 11-month delay between each episode. During the first episode, the patient was treated with high-dose intramuscular corticosteroids with a temporary improvement of auditory threshold that deteriorated 14 days after cessation of therapy. In the second episode, Hyperbaric Oxygen Therapy was associated with corticosteroids, with improvements in both ears, including the one that was unresponsive in the long term to previous pharmacologic therapy. In this case, Hyperbaric Oxygen Therapy could have acted synergically with corticosteroids playing a role in hearing restoration.