Positional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report
Mohsen Tabasi,1,2 Seyed Alireza Javadinia,3 Seyed Davar Siadat,4 Sana Eybpoosh,5 Mohammad Reza Yazdannasab,4 Milad Kheirvari,4 Fezzeh Elyasinia,6 Saeed Bayanolhagh,7 Amin Radmanesh,2 Ahmadreza Soroush8 1Department of Molecular Biology, Pasteur Institute of Iran, Tehran, Iran; 2Legal Medicine Researc...
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| Formato: | article |
| Lenguaje: | EN |
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Dove Medical Press
2020
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| Acceso en línea: | https://doaj.org/article/d81ad5b5e0cf4cc0815709ca284dfcf0 |
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| Sumario: | Mohsen Tabasi,1,2 Seyed Alireza Javadinia,3 Seyed Davar Siadat,4 Sana Eybpoosh,5 Mohammad Reza Yazdannasab,4 Milad Kheirvari,4 Fezzeh Elyasinia,6 Saeed Bayanolhagh,7 Amin Radmanesh,2 Ahmadreza Soroush8 1Department of Molecular Biology, Pasteur Institute of Iran, Tehran, Iran; 2Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran; 3Cellular and Molecular Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran; 4Department of Mycobacteriology and Pulmonary Research, Microbiology Research Center, Pasteur Institute of Iran, Tehran, Iran; 5Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran; 6Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran; 7Iranian Research Center of HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran; 8Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranCorrespondence: Ahmadreza SoroushObesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranEmail soroush1344@gmail.comAbstract: Laparoscopic sleeve gastrectomy (LSG) is an effective treatment option in patients with morbid obesity, with rare long-term sideeffects. In this report, we present a 42-year-old woman who reported positional vertigo and unilateral gradual hearing loss plus continuous tinnitus after LSG. The patient had no signs or symptoms of mental health disorders and the results of the haematological and serum biochemical tests were normal. However, audiometric test revealed mild sensorineural hearing loss with magnitude in high-frequency tones. Also, acoustic reflex threshold showed neural pathway damage, particularly at high frequencies, with no reflex. Pure tone audiometry showed signs of nerve damage in the inner ear. One possible justification for these complications might be eustachian tube dysfunction due to muscle relaxation. Muscle relaxation itself may occur as a result of adipose tissue loss around the ear muscles. Further evidence, however, would be required to better determine whether these complications are attributable to LSG, and to illuminate exact underlying reasons for such complications.Keywords: hearing loss, positional vertigo, sleeve gastrectomy, bariatric surgery, obesity |
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