Hitselberger sign

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The Hitselberger sign (William Hitselberger, neurosurgeon , Los Angeles ) describes a loss of sensitivity in the upper rear section of the external auditory canal due to paralysis of the facial nerve (impairment of the intermedius nerve ).

The symptoms were first described in 1966 by William Hitselberger and William House as an early sign of acoustic neuroma after they noticed a lower pain sensitivity of the posterior external auditory canal when rinsing the diseased side with ice water. If the sensitivity is high , the specificity of the sign for the diagnosis of acoustic neuroma is moderate.

Individual evidence

  1. ^ Pschyrembel Clinical Dictionary . Founded by Willibald Pschyrembel. Edited by the publisher's dictionary editor under the direction of Helmut Hildebrandt. 261st edition. De Gruyter, Berlin 2007, ISBN 978-3-11-018534-8 .
  2. ^ WE Hitselberger, WF House: Acoustic neuroma diagnosis. External auditory canal hypesthesia as an early sign . In: Arch Otolaryngol. 1966 Mar; 83 (3), pp. 218-221. PMID 5904042
  3. ^ H. Weidauer, H. Feldmann: The Hitselberger sign - its informative value for the diagnosis of acoustic neuroma. In: Eur Arch Otorhinolaryngol. 1973; 205 (2), pp. 126-130. PMID 4785477