レルモエーゼ症候群:報告された症例の体系的なレビューと叙述的合成
Giorgos Sideris1, Leonidas Katsis1, Styliani Karle1
12nd Otolaryngology Department, Attikon University Hospital, National and Kapodistrian University of Athens, 124 62 Athens, Greece.
Audiology research
|August 27, 2025
まとめ
レルモエゼ症候群 (LS) は,めまいの後に聴覚が改善される珍しい内耳疾患です. このレビューは,メニエールと異なる特徴を明確にします.
科学分野:
- 耳鼻喉科
- 神経学
- 聴覚学
背景:
- ラーモエーゼ症候群 (LS) は,内リンパ性水腫の希少な変種である.
- 感覚神経の聴覚障害が 逆行して頭が回る
- メニエール病 (Menière's disease, MD) との区別は,臨床的に有意である.
研究 の 目的:
- レルモエーゼ症候群の文献をまとめました
- 臨床的特徴,診断,およびLSの管理を明確にする.
- メニエール病と異なる特徴を強調する.
主な方法:
- PRISMAのガイドライン (1919-2025) に従った体系的な文献レビュー.
- データ抽出には,人口統計,症状,オーディオ・エステビュラ検査,イメージング,治療,結果が含まれていました.
- LSの53例を報告した23の研究の分析
主要な成果:
- LSは27歳から85歳 (平均50. 34歳) の患者で,男性優勢 (64. 1%) である.
- ハールマーク: 片側低周波の聴覚障害に続いて,頭と聴覚回復.
- 聴覚測定では 聴覚の喪失が逆転する事が示され вестибуляр検査と画像検査は 通常正常であった.
結論:
- 耳の内側にある 独特で認知されていない疾患です
- 逆説的な聴覚の改善は,頭の後にLSとメニエール病を区別します.
- 診断と治療は,希少性とガイドラインの欠如のために注意深い臨床評価を必要とします.
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