Prevalência de sintomas otoneurológicos em indivíduos com hipotireoidismo congênito: estudo piloto

Abstract

Resumo Objetivo Investigar a frequência de sintomas otoneurológicos em crianças com hipotireoidismo congênito e relacioná-los com os aspectos clínicos. Métodos Estudo exploratório de caráter descritivo seccional. A casuística foi composta pelos pais e/ou cuidadores de 105 crianças com diagnóstico de hipotireoidismo congênito e com 5 anos ou mais de idade. A coleta de dados utilizou um questionário estruturado elaborado e testado pelos pesquisadores. As informações clínicas e laboratoriais foram obtidas dos prontuários médicos. Resultados A maioria dos indivíduos (72,4%) demonstrou sintomas relacionados à disfunção vestibulococlear, na qual a tontura/vertigem correspondeu a 56,2% dos sintomas, seguida pela hipoacusia (43,8%) e pelo zumbido (12,4%). Houve correlação estatística entre os sintomas de hipoacusia (p=0,016) e a idade para o teste de rastreio neonatal, bem como os sintomas de tontura/vertigem com a etiologia do hipotireoidismo congênito (p=0,003). Na percepção da hipoacusia (RP=0,49; IC=0,31-0,77), a exposição ao fator demonstrou associação com a probabilidade de 95%. Conclusão Os achados sugerem significativa prevalência e associação entre hipotireoidismo congênito e sintomas otoneurológicos, especialmente tontura, hipoacusia e zumbido.

Influence of socioeconomic factors on the perception of cochlear-vestibular symptoms and adherence to the treatment of congenital hypothyroidism

“…However, the perception of these alterations may be associated with other factors related to the treatment, such as adherence, hormonal follow-up, etiology of the disease and its severity. 20 Thus, other questions may be involved in the greater or lesser perception of cochleo-vestibular symptoms other than socioeconomic ones.…”

“…The presence of hearing loss may be related to auditory processing disorder, as well as to subclinical auditory disorders. 20 Therefore, in the presence of any symptoms related to low auditory acuity, it is necessary to perform diagnostic tests in order to discard peripheral auditory alterations, as well as to investigate dysfunctions in the central auditory system. The presence of hearing loss in childhood, even of a mild degree, causes delay in language and speech development, attention deficit, behavioral disorders and school problems.…”

“…For each well-owned one is given a score and the total of it defines each class in A, B1, B2, C1, C2 and D-E. 19 Regarding cochlear-vestibular symptoms, they consulted the parents/caregivers of the children in order to investigate the presence of these factors in the sample studied. Accordingly, the researchers obtained information through the application of a structured questionnaire, 20 formed by closed and Perception of cochlear-vestibular symptoms in congenital hypothyroidism objective questions about the presence or absence of tinnitus, hearing loss and dizziness/vertigo in children with CH.…”

Análise da cobertura da triagem auditiva neonatal no Nordeste brasileiro

“…It could be stated that the distribution of reference centres in health was mostly concentrated in private and philanthropic institutions, with only 34% represented by public networks, showing a major incidence on the south and southeast regions of Brazil (14) . Therefore, the existence of an unequal distribution of this service in the northeastern regions can be reafirmed (15) .…”

Equipe de Saúde da Família: relatos de conduta diante da perda auditiva infantil

“…The northeast region of the country presented the highest growth rate with 189.70%, followed by the north (63.36%), southeast (46.43%), midwest (11.92%), and south (1.52%) regions. Despite the great advances in coverage, the northeast region cannot meet the needs of the existing demand (27) . In the state of Pernambuco, there are four auditory health services accredited by SUS: two of medium complexity (28) and two of high complexity (29) .…”