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[急性脑梗塞的突发感神经听力损失的临床特征]

H Y Li¹, Y Wang², Y P Tong³

¹Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China Clinical Center for Vertigo and Balance Disturbance, Capital Medical University, Beijing 100070,China.

Zhonghua nei ke za zhi

|July 26, 2023

概括

突然感应神经听力损失 (SHL) 和急性脑梗塞在老年男性中经常同时发生,这些男性具有多种动脉样硬化风险因素. 大多数病例涉及后部循环心脏病发作和脊柱动脉狭窄或闭塞.

科学领域:

神经学神经学
耳鼻喉科耳鼻喉科耳鼻喉科
放射学放射学是一门学科.

背景情况:

突然感觉神经听力损失 (SHL) 可能是急性脑梗塞的早期指标.
识别SHL和脑梗塞之间的联系对于及时诊断和干预至关重要.

研究的目的:

分析突发感神经听力损失和急性脑梗塞的患者的临床和成像特征.
提供支持早期识别这些同时出现的条件的证据.

主要方法:

一个回顾性案例系列研究,涉及29名被诊断患有SHL和急性脑梗塞的患者.
从2017年1月至2021年12月期间入院的患者中分析了临床和MRI-DWI成像数据.

主要成果:

该研究包括31-71岁的患者 (平均56岁),主要是男性 (82.8%).
观察到动脉样硬化风险因素 (82.8%) 的高患病率和有史以来的SHL (24.1%).
大多数患者经历了严重的,平坦的/完全的聋,经常伴有头/ (82.8%). 中央神经系统的症状很常见.
影像检查显示,大多数病例 (21/29) 呈后部循环心脏梗塞,经常伴有脊椎大动脉狭窄或闭塞 (82.8%).

结论:

在脑梗塞之前的SHL通常与多种动脉样硬化风险因素有关.
中年和老年男性患有SHL,特别是伴有头和严重听力损失时,应对脑梗塞进行评估.
后部循环心脏病发作和脊动脉疾病是这些患者常见的发现.

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