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DOI: 10.1055/s-0040-1711196
post-traumatic stress disorder- a psychiatric disease conceals underlying diagnosis
We’re reporting on a 36-year-old female patient who presented with a subjective single-sided deafness, tinnitus, noise sensitivity and irritability since 5 years.
The result of countless presentations to otorhinolaryngologists was the diagnosis of a psychiatric hearing disorder in the context of a post-traumatic stress disease. An unfavourable combination of this psychiatric disease, which is the consequence of disturbing events in childhood and has repercussions until today plus vague and as well misinterpreted audiometric examination results led to the misdiagnosis of the underlying somatic cause: an intracochlear schwannoma. In the presence of a discernible obliteration of the basal turn of the left cochlea in magnetic resonance imaging and missing this pathology many futile psychosomatic treatments and a stay in a rehabilitation clinic followed.
The exstirpation of this schwannoma and subsequent cochlea implantation finally solved the hearing problems and returned her courage to face life.
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Publication History
Article published online:
10 June 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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