Abstract
It is well known that head trauma (HT) can cause hypoacusis; as well as benign positional paroxysmal vertigo (BPPV) and anosmia, which are frequently referred as sequelae of HY. However, the post-HT triad of BPPV, hypoacusis and anosmia is extremely rare to occur in the same patient, with only two cases reported in the literature.
Highlights
It is well known that head trauma (HT) can cause hypoacusis; as well as benign positional paroxysmal vertigo (BPPV) and anosmia, which are frequently referred as sequelae of HY
Otolaryngologists should be aware of the various post-traumatic ENT manifestations, as early identification and treatment of post-HT sequelae can improve the prognosis
The post-HT triad of BPPV, hypoacusis and anosmia is extremely rare to occur in the same patient, with only two cases reported in the literature [4]
Summary
We describe the case of a 71-year-old patient referred to ENT consultation with complaints olfactory changes, vertigo and worsening of left hearing loss with tinnitus after HT. Physical examination revealed the presence of anosmia (UPSIT®: 7 correct answers), left posterior semi-circular canal BPPV and left ear conduction hearing loss (Rinne negative on the left and Weber lateralized to the left). The patient had moderate grade I mixed deafness of the left ear, with good discrimination and worsening compared to previous exams. CE-CT performed within hours after trauma showed left frontobasal and temporal contusion with scattered subarachnoid hemorrhage and subdural hematoma. A cycle of systemic corticosteroid therapy was attempted without favourable evolution of the anosmia
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