Deafness is a very characteristic and troublesome symptom of hypothyroidism. Both nerve and conduction deafness and combinations of the two have been reported, and vestibular abnormalities have also been demonstrated. Serous otitis media is not uncommon. Two-thirds of patients complain of dizziness, vertigo, or tinnitus occasionally: these problems again suggest damage to the eighth nerve or labyrinth, or possibly to the cerebellum. Whatever type of deafness is present, there is marked improvement after thyroid therapy. Acute thyroxine depletion caused by total thyroidectomy has no deleterious effects on hearing up to 6 weeks11. Acquired hearing loss in association with adult-onset hypothyroidism should be distinguished from the sensorineural deafness of Pendred's syndrome. In the latter, treatment of hypothyroidism does not correct the hearing defect. Sensorineural hearing loss is considered to be associated with a prolonged low calcium level in the inner ear fluid and is a possible complication of hypoparathyroidism.

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