IMPACT OF AUTOIMMUNE INNER EAR DISEASE ON ATHLETIC PERFORMANCE: A CASE REPORT AND LITERATURE REVIEW

Abstract

Objective: This case report examines the impact of autoimmune inner ear disease on a 27-year-old female athlete, highlighting the challenges posed by symptoms such as tinnitus, dizziness, and hearing loss, which can significantly affect athletic performance. Case Description: The athlete presented with moderate loudness tinnitus and dizziness lasting for half a month, without significant initial hearing loss or other ear-related symptoms. Initially treated with medication, her condition deteriorated, leading to low-frequency hearing loss in the right ear as confirmed by pure tone audiometry at a local hospital. Subsequent treatment involved hormones, nerve trophics, and circulatory improvements, which ameliorated her hearing and tinnitus but left residual dizziness. Findings: Upon evaluation at our hospital, physical exams showed normal hearing restored in both ears, but acoustic impedance testing revealed an As-type curve in both ears, indicating possible middle ear involvement. Conclusion: This case underscores the need for awareness and early intervention for autoimmune inner ear diseases in athletes, as such conditions can transiently or permanently impair crucial aspects of sports performance, particularly in disciplines requiring optimal auditory and balance capabilities. Further research and case studies are needed to develop effective management strategies that minimize the impact of this condition on athletes.