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291 Possible Causes for Dysacusis, Severely Reduced Central Responses on Multifocal ERG, Unilateral Facial Weakness

  • Primary Progressive Multiple Sclerosis

    We present three patients with a clinical course and cerebrospinal fluid findings consistent with a diagnosis of primary progressive multiple sclerosis (PPMS). Extensive and repeated magnetic resonance imaging (MRI) examinations showed only diffuse abnormality in brain and spinal cord, but no focal lesions. We propose[…][ncbi.nlm.nih.gov]

    Missing: Severely Reduced Central Responses on Multifocal ERG
  • Acoustic Neuroma

    The clinical signs may be characterized as: a) progressive unilateral or asymmetrical sensorineural dysacusis, b) intermittent hearing loss, c) tinnitus and sensation of fullness[scielo.br] Facial weakness is rare and should prompt investigation of differential diagnoses such as arteriovenous malformation (AVM), meningioma, hemangioma, and facial neuroma.[symptoma.com] […] numbness or weakness in the face due to involvement of the facial nerve.[msdmanuals.com]

    Missing: Severely Reduced Central Responses on Multifocal ERG
  • Multiple Sclerosis

    Multiple sclerosis (MS, disseminated sclerosis, encephalomyelitis disseminata) is an inflammatory demyelinating disease of the central nervous system. Multiple sclerosis is divided into the following categories: Relapsing-remitting MS, Secondary progressive MS, Primary progressive MS and Progressive-relapsing MS. Individuals[…][symptoma.com]

    Missing: Severely Reduced Central Responses on Multifocal ERG
  • Bell's Palsy

    Initial presentation may be pain around the ear or surrounding areas May be associated with hyperacusis Prodrome of ear pain and dysacusis may be present Physical manifestations[pedclerk.bsd.uchicago.edu] : eg, abrupt onset with complete, unilateral facial weakness at 24 to 72 hours, and, on the affected side, numbness or pain around the ear, a reduction in taste, and hypersensitivity[ncbi.nlm.nih.gov] […] the facial nerve innervates the stapedius muscle of the middle ear (via the tympanic branch), sound sensitivity, causing normal sounds to be perceived as very loud, and dysacusis[en.wikipedia.org]

    Missing: Severely Reduced Central Responses on Multifocal ERG
  • Acoustic Neuritis

    […] deafness from labyrinthine artery ischemia; facial weakness; and ataxia Labyrinthine (internal auditory) artery syndrome Large-vessel syndromes include the following: Vertebrobasilar[clevelandclinicmeded.com] Lateral medullary syndrome (Wallenberg’s) with vertigo, dysarthria, Horner’s syndrome, and hemiataxia Anterior inferior cerebellar artery syndrome, consisting of vertigo and unilateral[clevelandclinicmeded.com]

    Missing: Severely Reduced Central Responses on Multifocal ERG
  • Facial Nerve Paralysis of the Newborn

    Initial presentation may be pain around the ear or surrounding areas May be associated with hyperacusis Prodrome of ear pain and dysacusis may be present Physical manifestations[pedclerk.bsd.uchicago.edu] […] bilateral facial palsy • slowly progressive unilateral facial weakness beyond 3 weeks • slowly progressive unilateral facial weakness associated with facial hyperkinesis[pocketdentistry.com] Typical findings for facial nerve paralysis: Sudden onset, unilateral facial weakness Occasional periaural numbness or tingling Inability to raise eyebrow on the affected[clinicaladvisor.com]

    Missing: Severely Reduced Central Responses on Multifocal ERG
  • Meniere's Disease

    This is a retrospective review of clinical data and audiovestibular test results from four children in whom symptoms suggesting Ménière's disease started at 4-7 years of age. The four patients all had spontaneous recurrent attacks of (spinning) vertigo and fluctuating low frequency sensorineural hearing loss from[…][ncbi.nlm.nih.gov]

    Missing: Severely Reduced Central Responses on Multifocal ERG Unilateral Facial Weakness
  • Stroke

    […] movement 0—Normal 1—Minor facial weakness 2—Partial facial weakness 3—Complete unilateral palsy 5 Motor function (arm) 0—No drift a.[doi.org] […] horizontal movements 1—Partial gaze palsy 2—Complete gaze palsy 3 Visual fields 0—No visual field defect 1—Partial hemianopia 2—Complete hemianopia 3—Bilateral hemianopia 4 Facial[doi.org]

    Missing: Dysacusis Severely Reduced Central Responses on Multifocal ERG
  • Pineal Gland Cyst

    Pineal gland cysts are typically asymptomatic, benign cysts most commonly found incidentally in adults. In rare cases, a large pineal gland cyst can be complicated by intracystic hemorrhage, which could then manifest with neurological symptoms. We report a new complication of intracystic hemorrhage in a large pineal[…][ncbi.nlm.nih.gov]

    Missing: Dysacusis Severely Reduced Central Responses on Multifocal ERG
  • Transient Ischemic Attack

    […] movement 0—normal 1—minor facial weakness 2—partial facial weakness 3—complete unilateral palsy 5 Motor function (arm) 0—no drift a.[doi.org] weakness Yes No If items are yes or unknown, meets criteria for stroke Cincinnati Prehospital Stroke Scale Facial droop Normal—both sides of face move equally Abnormal—one[doi.org] Right droop Left droop Grip Normal Right weak Left weak No grip No grip Arm strength Normal Right drift Left drift Right falls Left falls Based on examination, patient has unilateral[doi.org]

    Missing: Dysacusis Severely Reduced Central Responses on Multifocal ERG