Auditory and Vestibular Neuropathy in an Adult Patient
JD is a 32-year-old female referred to the audiology clinic reporting a 5-month history of sudden bilateral hearing loss and tinnitus. Additional symptoms included dizziness, imbalance, blurred vision, and intermittent tingling and numbness of her face, tongue, hands, and feet. JD reported experiencing an “emotional breakdown” during a stressful life event with subsequent onset of all of her current medical symptoms. Prior to this incident, JD reported having normal hearing bilaterally and balance; no history of noise exposure, ear surgeries, or trauma; and no known family history of hearing loss. JD’s medical history was also significant for anxiety, depression, and smoking one pack of cigarettes per day.