ABSTRACT
La sordera de origen no orgánico ha sido objeto de estudio por parte de otorrinolaringología con el fin de establecer un diagnóstico certero. Sin embargo, pocos artículos versan sobre la salud mental del sujeto que la sufre. Entre las causas subyacentes se diferencian el trastorno por conversión, trastorno facticio y la simulación. En el presente artículo se expone el caso de una mujer cuyo malestar emocional esbozará variopintos síntomas conversivos, destacando la pérdida de audición por su relativa infrecuencia. Se expondrán las dificultades encontradas en su diagnóstico clínico y manejo terapéutico. Se pondrá en evidencia la importancia de trabajar conjuntamente con el resto de especialistas y entorno más cercano de la paciente
Non-organic hearing loss has been the focus of study by otorrinolaringologists to get the correct differential diagnosis. Nevertheless, scarce literature is about mental health status from the subject who suffers it. The psychological causes beyond the deafness can be divided into conversion disorder, factitious or malingering. In this article we expound the case of a woman whose suffering will outline various conversive symptoms, as the rare hypoacusis. The difficulties found for the diagnosis and treatment will be discussed. It'll be evident that it is a must to work together with the other specialties and family environment
Subject(s)
Humans , Female , Adult , Hearing Loss, Functional/diagnosis , Conversion Disorder/complications , Psychotherapy/methods , Hearing Loss, Functional/psychology , Mental Health , Conversion Disorder/psychology , Disease Progression , Audiometry , Hearing Loss, Functional/drug therapy , Organ Dysfunction ScoresABSTRACT
Auditory dehydration testing with oral hyperosmolar substances is commonly used in the evaluation of patients with suspected endolymphatic hydrops. Endolymphatic hydrops is assumed to be temporarily reduced in some cases, resulting in an improvement in hearing. Unfortunately, ingestion of glycerol, the most frequently used oral agent, often causes severe headache, vomiting, or both. Urea has recently been used as an alternative. A study of patients with Meniere's disease was designed to compare the effectiveness of glycerol versus urea in inducing a temporary improvement in hearing thresholds. Three hundred patients received either glycerol or urea. Fifty-seven percent of the glycerol patients had positive hearing results compared with 77% of the urea patients. Temporary hearing improvements following urea ingestion may not be caused by a rise in serum osmolality alone, since this occurs with glycerol but not with urea.
