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突发性听力丧失是前置性施瓦诺瘤的初始症状
Minerva Rodriguez-Martín1, Rocío González-Aguado2, Belén Salvatierra-Vicario2
1Otolaryngology and Head and Neck Surgery Department, Attending Surgeon, Hospital de Urduliz-Alfredo Espinosa, Vizcaya, Vasque Country, Spain.
World neurosurgery
|February 21, 2024
概括
静脉神经瘤 (VS) 是一种罕见的突然听力损失 (SHL) 的原因,在2.2%的病例中发现. 与VS相关的SHL的临床特征和听力学模式与其他原因没有显著差异.
科学领域:
- 神经学神经科学 神经学神经学
- 听力学 听力学是指听力学.
- 神经外科 神经外科
背景情况:
- 突然听力损失 (SHL) 是一个常见的耳科紧急情况.
- 静脉神经瘤 (VS) 是静脉神经的良性瘤,可以呈现为SHL.
- 了解SHL患者中VS的患病率和特征对于诊断和管理至关重要.
研究的目的:
- 为了确定前庭神经瘤 (VS) 在患者呈现突然听力损失 (SHL) 的患病率.
- 描述诊断为VS和SHL的个体的临床和声学特征.
- 评估VS诱导的SHL治疗结果.
主要方法:
- 30年来,在第三级推中心对被诊断患有SHL的患者进行了观察性回顾性审查.
- 纳入标准:证实VS为原因的SHL;排除标准:缺乏成像或先前存在的VS诊断.
- 诊断时听力学特征的评估和治疗后的临床结果.
主要成果:
- 在403名突然听力损失 (SHL) 患者中,有9名 (2.2%) 患者被诊断出静脉瘤 (VS).
- 患者年龄在25岁至72岁之间;高频听力损失占主导地位 (轻度至中度).
- 大多数VS瘤是小的 (Koos等级I-II);治疗后听力恢复是有限的 (2/9完整,4/9没有改善).
结论:
- 静脉神经瘤 (VS) 是突然听力损失 (SHL) 的不常见原因,占病例的2%以上.
- 由于其他病因,与VS相关的SHL的临床表现和听力测试结果与SHL没有区别.
- 瘤大小与听力特征无关;无论听力是否有所改善,随访MRI是必不可少的.
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