[Inaugural audiovisual impairment disclosing specific neurological disorders].

B. Bourre, J. Aupy, M. Saleh, D. Gaucher, L. Thomas, C. Tranchant, J. De Seze, N. Collongues
Revue Neurologique. 2010-12-01; 166(12): 1017-1023
DOI: 10.1016/j.neurol.2010.08.006

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1. Rev Neurol (Paris). 2010 Dec;166(12):1017-23. doi: 10.1016/j.neurol.2010.08.006.
Epub 2010 Nov 30.

[Inaugural audiovisual impairment disclosing specific neurological disorders].

[Article in French]

Bourre B(1), Aupy J, Saleh M, Gaucher D, Thomas L, Tranchant C, De Seze J,
Collongues N.

Author information:
(1)Département de neurologie, hôpital universitaire de Rouen, 1, rue de Germont,
76031 Rouen, France.

The association of visual and auditory impairments, simultaneously or
consecutively, is a rare condition at the onset of neurological diseases. To
determine whether audiovisual impairment can be associated with a specific group
of neurological disorders at onset, we performed a prospective study of 307
patients over 6 months in a specialized neurological unit in inflammatory
diseases. Six patients (2%) experienced inaugural audiovisual impairments. The
mean age of patients at onset was 39.5 ± 14.7 years, with a male:female ratio of
1:2. Both deficiencies were reported in three cases, including loss of visual
acuity with tinnitus (two cases) or hearing loss (one case). Initial visual
dysfunction, characterised by loss of visual acuity, was noted in one patient.
Initial auditory impairment, characterised by dizziness and hearing loss, was
noted in two patients. The mean interval between the occurrence of visual and
auditory impairments was 3.8 ± 4.3 months. A neurological diagnosis was made in
four cases (67%) at a mean time of 4.6 ± 4.6 months after disease onset. Visual
impairments were optic neuritis for multiple sclerosis, serous retinal detachment
for Vogt-Koyanagi-Harada’s disease, a central retinal artery occlusion for
Susac’s syndrome and a retinal vasculitis for Cogan’s syndrome. The systematic
investigation of inaugural audiovisual impairment in young patients could help
shorten the time to a specific neurological diagnosis.

Copyright © 2010 Elsevier Masson SAS. All rights reserved.

DOI: 10.1016/j.neurol.2010.08.006
PMID: 21122882 [Indexed for MEDLINE]

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