Do you know of any relationship with Lyme Disease and Tinnitus? Or Lyme Disease and hearing loss?
Lyme disease is caused by the bacteria Borrelia burgdorferi and is transmitted by the deer tick Ixodes ricinus. The incidence of Lyme disease in the United States has been increasing since first reported in 1977. The disease exhibits three stages with various associated symptoms. The hallmark of the first stage is a spreading rash called erythema migrans. During the second stage, cranial neuropathies have been observed. In the third stage, neurologic symptoms related to encephalopathy and demyelinating disease can be observed.
Among the otolaryngologic manifestations, facial weakness is the best appreciated and can sometimes be bilateral. Dizziness can occur in approximately 12% of patients. A sudden onset or rapidly progressive sensorineural hearing loss (typically bilateral) and/or tinnitus occur in a small percentage of patients ("T 5%). Among patients who have experienced a sudden sensorineural hearing loss, seropositivity to Borrelia is several times higher than within the general population. The hearing loss can frequently be low-frequency. Lyme disease is treated with antibiotic therapy, and highly variable response rates of hearing loss and tinnitus to treatment have been reported.
Lance E. Jackson, MD is an Otologist/Neurotologist and president of the Ear Institute of Texas in San Antonio, TX. Refer to his web sitewww.earsoftexas.comfor a list of publications and services provided.
The goal of this course is to introduce the attendee to the advanced science of clinical pharmacology that impacts the practice of the audiologist. The clinical use and understanding of the pharmacodynamics, pharmacokinetics, and the potential positive and negative outcomes of medications will be emphasized.
A kiss on the ear's aperture has been shown to result in sudden sensorineural hearing loss, tinnitus, and hyperacusis. This presentation explores the physiological mechanism underlying this ear-kiss syndrome.
It has been estimated that up to 60% of hearing loss is genetic. In this presentation, we will discuss the most common forms of genetic deafness, appropriate referrals to genetics professionals and what patients can expect from a genetics evaluation.