Sensorineural Hearing Loss as the Prominent Symptom in Meningeal Carcinomatosis
Sensorineural hearing loss (SNHL) has been reported rarely in patients with meningeal carcinomatosis (MC). We summarized the clinical data of eight MC patients with SNHL and 35 patients reported from publications. In the eight patients with SNHL, the medium onset age was 48 (range from 37 to 66) yea...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-08-01
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| Series: | Current Oncology |
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| Online Access: | https://www.mdpi.com/1718-7729/28/5/281 |
| _version_ | 1827679804296527872 |
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| author | Xiaoqin Huang Yu Jia Lidong Jiao |
| author_facet | Xiaoqin Huang Yu Jia Lidong Jiao |
| author_sort | Xiaoqin Huang |
| collection | DOAJ |
| description | Sensorineural hearing loss (SNHL) has been reported rarely in patients with meningeal carcinomatosis (MC). We summarized the clinical data of eight MC patients with SNHL and 35 patients reported from publications. In the eight patients with SNHL, the medium onset age was 48 (range from 37 to 66) years and six (75%) were male. Seven (87.5%) suffered from headaches as the initial symptom, and they experienced SNHL during the first two months after the occurrence of headaches (0.5 to 2 months, average 1.5 months). The audiogram configuration was flat in three patients (37.5%) and showed total deafness in five patients (62.5%). The damage of cranial nerves VI (abducens) was observed in six patients (75%), and four patients (50%) had cranial nerves VII (facial) injury during the disease course. The percentage of damage of cranial nerves was higher than the patients without SNHL (VIth, 75.0% vs. 13.3%, <i>p</i> = 0.002 and VIIth 50.0% vs. 6.7%, <i>p</i> = 0.012). Four (50%) patients suffered from lung adenocarcinoma as primary tumor, two (25%) experienced stomach adenocarcinoma, one had colon cancer, and one patient was unknown. The symptom of SNHL improved after individualized therapy in four patients (focal radiotherapy and chemotherapy for three patients and whole brain radiotherapy for one patient), but all passed away from 2 to 11 months after diagnosis. Total deafness and flat hearing loss in audiogram were the common types of SNHL resulting from MC. MC patients with SNHL were more likely to suffer from the damage of other cranial nerves, especially to cranial nerves VI and VII. Treatment might improve SNHL, but not improve the case fatality rate. |
| first_indexed | 2024-03-10T06:38:18Z |
| format | Article |
| id | doaj.art-275792b026f643d8971592bd130c4d78 |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-10T06:38:18Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-275792b026f643d8971592bd130c4d782023-11-22T17:54:18ZengMDPI AGCurrent Oncology1198-00521718-77292021-08-012853240325010.3390/curroncol28050281Sensorineural Hearing Loss as the Prominent Symptom in Meningeal CarcinomatosisXiaoqin Huang0Yu Jia1Lidong Jiao2Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaSensorineural hearing loss (SNHL) has been reported rarely in patients with meningeal carcinomatosis (MC). We summarized the clinical data of eight MC patients with SNHL and 35 patients reported from publications. In the eight patients with SNHL, the medium onset age was 48 (range from 37 to 66) years and six (75%) were male. Seven (87.5%) suffered from headaches as the initial symptom, and they experienced SNHL during the first two months after the occurrence of headaches (0.5 to 2 months, average 1.5 months). The audiogram configuration was flat in three patients (37.5%) and showed total deafness in five patients (62.5%). The damage of cranial nerves VI (abducens) was observed in six patients (75%), and four patients (50%) had cranial nerves VII (facial) injury during the disease course. The percentage of damage of cranial nerves was higher than the patients without SNHL (VIth, 75.0% vs. 13.3%, <i>p</i> = 0.002 and VIIth 50.0% vs. 6.7%, <i>p</i> = 0.012). Four (50%) patients suffered from lung adenocarcinoma as primary tumor, two (25%) experienced stomach adenocarcinoma, one had colon cancer, and one patient was unknown. The symptom of SNHL improved after individualized therapy in four patients (focal radiotherapy and chemotherapy for three patients and whole brain radiotherapy for one patient), but all passed away from 2 to 11 months after diagnosis. Total deafness and flat hearing loss in audiogram were the common types of SNHL resulting from MC. MC patients with SNHL were more likely to suffer from the damage of other cranial nerves, especially to cranial nerves VI and VII. Treatment might improve SNHL, but not improve the case fatality rate.https://www.mdpi.com/1718-7729/28/5/281meningeal carcinomatosissensorineural hearing losscranial nervesprimary tumortherapy |
| spellingShingle | Xiaoqin Huang Yu Jia Lidong Jiao Sensorineural Hearing Loss as the Prominent Symptom in Meningeal Carcinomatosis Current Oncology meningeal carcinomatosis sensorineural hearing loss cranial nerves primary tumor therapy |
| title | Sensorineural Hearing Loss as the Prominent Symptom in Meningeal Carcinomatosis |
| title_full | Sensorineural Hearing Loss as the Prominent Symptom in Meningeal Carcinomatosis |
| title_fullStr | Sensorineural Hearing Loss as the Prominent Symptom in Meningeal Carcinomatosis |
| title_full_unstemmed | Sensorineural Hearing Loss as the Prominent Symptom in Meningeal Carcinomatosis |
| title_short | Sensorineural Hearing Loss as the Prominent Symptom in Meningeal Carcinomatosis |
| title_sort | sensorineural hearing loss as the prominent symptom in meningeal carcinomatosis |
| topic | meningeal carcinomatosis sensorineural hearing loss cranial nerves primary tumor therapy |
| url | https://www.mdpi.com/1718-7729/28/5/281 |
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