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Sensorineural Deafness in Early Acquired Syphilis

Published online by Cambridge University Press:  18 September 2015

Philippe Saltiel ,
Calvin A. Melmed  and
David Portnoy
Philippe Saltiel
Affiliation:
Division of Neurology, Montreal General Hospital and McGill University, Montreal, Canada
Calvin A. Melmed*
Affiliation:
Division of Neurology, Montreal General Hospital and McGill University, Montreal, Canada
David Portnoy
Affiliation:
Division of Neurology, Montreal General Hospital and McGill University, Montreal, Canada
*
Division of Neurology, Montreal General Hospital, 1650 Cedar Avenue, Montreal, Quebec, Canada H3G 1A4.
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A 36 year old male developed bilateral sensorineural deafness as the chief manifestation of secondary syphilis. Cerebrospinal fluid showed pleocytosis. Treatment with penicillin and prednisone resulted in good recovery of hearing. Initial recovery seemed dependent on corticosteroids. Deafness can complicate acquired syphilis in both early and late stages of the disease and may be its sole manifestation. Early acquired syphilitic deafness is usually the result of a meningitis affecting the eighth nerve and responds well to treatment. These features are contrasted with those of late acquired syphilitic deafness.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 10 , Issue 2 , May 1983 , pp. 114 - 116
Copyright
Copyright © Canadian Neurological Sciences Federation 1983

References

Alergant, C.D. (1965). Eighth nerve deafness in early syphilis. Brit. J. Vener. Dis. 41:300–301.Google ScholarPubMed
Balkany, T.J., Dans, P.E. (1978). Reversible sudden deafness in early acquired syphilis. Arch. Otol. 104: 66–68.CrossRefGoogle ScholarPubMed
Bauer, T.J., Price, E.V., Cutler, J.C. (1952). Spinal fluid examinations among patients with primary or secondary syphilis. Amer. J. Syph. 36: 309–318.Google ScholarPubMed
Becker, G.D. (1979). Late syphilitic hearing loss: a diagnostic and therapeutic dilemma. Laryngoscope 89: 1273–1288.CrossRefGoogle ScholarPubMed
Goodhill, V. (1939). Syphilis of the ear: a histopathologic study. Ann. Otol. Rhinol. Laryngol. 48: 676–706.Google Scholar
Loche, W.E., Tucker, H.A. (1948). Penicillin treatment of nerve deafness due to syphilis. Ann. Otol. Rhinol. Laryngol. 57: 167–180.CrossRefGoogle Scholar
McNulty, J.S., Fasselt, R.L. (1981). Syphilis: an otolaryngologic perspective. Laryngoscope 91: 889–905.CrossRefGoogle ScholarPubMed
Merritt, H.H., Moore, M. (1935). Acute syphilitic meningitis. Medicine 14: 119–183.CrossRefGoogle Scholar
Moore, J.E. (1947). Penicillin and syphilis. Blackwell, Oxford, p. 265–270.Google Scholar
Nelson, R.A., Duncan, L. (1945). Acute syphilitic meningitis treated with penicillin. American Journal of Syphilis, Gonorrhea, and Venereal Diseases 29: 141–163.Google Scholar
Stokes, J.H., Beerman, H., Ingraham, N.R. (1944). Modern clinical syphilology. 3rd ed. Saunders, Philadelphia, p. 605–615.Google Scholar
Vercoe, G.S. (1976). The effect of early syphilis on the inner ear and auditory nerves. J. Laryng. Otol. 853–861.Google Scholar
Von Schulthess, G. (1978). Kasuistischer Beitrag zur luetischen Gehörsstörung. HNO 26: 374–376.Google Scholar
Wetherill, J.H., Webb, H.E., Catterall, R.D. (1965). Syphilis presenting as an acute neurological illness. Brit. Med. J. 1: 1157–1158.CrossRefGoogle ScholarPubMed
Willcox, R.R., Goodwin, P.G. (1971). Nerve deafness in early syphilis. Brit. J. Vener. Dis. 47:401–46.Google ScholarPubMed