Cochlear neuritis

Neuritis of the cochlear (neuritis of the auditory nerve). Symptoms, course. A disease characterized by hearing loss (sound perception is disturbed) and sensation of noise in one or both ears. The reasons are varied. The most important of them are: infectious diseases (influenza, epidemic parotitis, epidemic meningococcal meningitis, typhus, measles, scarlet fever, etc.), atherosclerosis, metabolic and blood diseases, intoxication with drugs (quinine, salicylates, streptomycin, neomycin, etc.) Nicotine, alcohol, mineral poisons (arsenic, lead, mercury, phosphorus), noise and vibration trauma. The diagnosis is based on an audiological examination. The otoscopic picture without deviations from the norm. Differential diagnosis is carried out with a mixed and cochlear form of otosclerosis.

Treatment. With acute cochlear neuritis, the patient should be hospitalized urgently to take all necessary measures to restore the hearing. In acute intoxication of the auditory nerve appoint sweatshops (pilocarpine), diuretics and laxatives. If neuritis occurs as a result of an infectious disease or during it, then antibacterial drugs are prescribed; Intravenous fluids of glucose solution. With the so-called chronic cochlear neuritis, treatment is ineffective. Assign vitamins B1, B2, A, nicotinic acid, iodine preparations, aloe extract, ATP, cocarboxylase, acupuncture. To reduce the noise in the ears, intranasal, intramaital blockade with novocaine is used. With pronounced hearing loss, hearing aid is indicated.