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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Autores principales:	Tabasi M, Javadinia SA, Siadat SD, Eybpoosh S, Yazdannasab MR, Kheirvari M, Elyasinia F, Bayanolhagh S, Radmanesh A, Soroush A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	hearing loss positional vertigo sleeve gastrectomy bariatric surgery obesity Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/d81ad5b5e0cf4cc0815709ca284dfcf0
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spelling	oai:doaj.org-article:d81ad5b5e0cf4cc0815709ca284dfcf02021-12-02T04:18:26ZPositional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report1178-7007https://doaj.org/article/d81ad5b5e0cf4cc0815709ca284dfcf02020-02-01T00:00:00Zhttps://www.dovepress.com/positional-vertigo-and-unilateral-gradual-hearing-loss-following-sleev-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Mohsen 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, obesityTabasi MJavadinia SASiadat SDEybpoosh SYazdannasab MRKheirvari MElyasinia FBayanolhagh SRadmanesh ASoroush ADove Medical Pressarticlehearing losspositional vertigosleeve gastrectomybariatric surgeryobesitySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 387-390 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	hearing loss positional vertigo sleeve gastrectomy bariatric surgery obesity Specialties of internal medicine RC581-951
spellingShingle	hearing loss positional vertigo sleeve gastrectomy bariatric surgery obesity Specialties of internal medicine RC581-951 Tabasi M Javadinia SA Siadat SD Eybpoosh S Yazdannasab MR Kheirvari M Elyasinia F Bayanolhagh S Radmanesh A Soroush A Positional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report
description	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
format	article
author	Tabasi M Javadinia SA Siadat SD Eybpoosh S Yazdannasab MR Kheirvari M Elyasinia F Bayanolhagh S Radmanesh A Soroush A
author_facet	Tabasi M Javadinia SA Siadat SD Eybpoosh S Yazdannasab MR Kheirvari M Elyasinia F Bayanolhagh S Radmanesh A Soroush A
author_sort	Tabasi M
title	Positional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report
title_short	Positional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report
title_full	Positional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report
title_fullStr	Positional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report
title_full_unstemmed	Positional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report
title_sort	positional vertigo and unilateral gradual hearing loss following sleeve gastrectomy: a case report
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/d81ad5b5e0cf4cc0815709ca284dfcf0
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Positional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report

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