带有罕见ANK2基因变异的耳患者的表型谱
Juan Martin-Lagos1,2,3,4, Alberto Bernal-Robledano1,2,4, Patricia Perez-Carpena1,2,4,5
1Otology and Neurotology Group CTS495, Instituto de Investigación Biosanitaria, ibs.GRANADA, Universidad de Granada, 18071, Granada, Spain.
概括
罕见的ANK2基因变异与慢性耳有关,通常呈现出超声和类似噪音的声音. 一些患者还表现出轻微的认知障碍和改变的听觉脑干反应.
科学领域:
- 遗传学 遗传学 是一个
- 听力学 听力学是指听力学.
- 神经学 神经学
背景情况:
- 慢性耳是一个复杂的疾病,有不同的潜在原因.
- ANK2基因与神经功能有关,但其在耳中的作用尚不清楚.
研究的目的:
- 研究患有慢性耳和罕见ANK2基因变异的患者的临床,听觉和心理特征.
- 在耳患者中识别与ANK2变异相关的潜在内类型.
主要方法:
- 分析了12名患有慢性耳声和ANK2变异的患者的病例系列.
- 综合评估包括听力学 (听力测量,ABR,AMLR),精神声学和心理测量 (VAS,THI,THS-GÜF,PHQ-9,HADS,MoCA).
主要成果:
- 所有患者都报告了持续的,单边的类似噪音的耳声.
- 很大一部分人表现出极端的耳障碍 (THI>76) 和超声障碍 (THS-GÜF>18).
- 在几个患者中观察到轻度认知障碍 (MoCA <26),在有耳的耳朵中观察到AMLR中改变的Pa波幅.
结论:
- 患有ANK2变异和严重耳的患者表现出一种内类型,其特征是超音量,类似噪声的耳,高频听力损失和特定的AMLR变化.
- 虽然这些特征是一致的,但相关的焦虑,抑郁和认知症状显示出个体的变化.
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