多西环素诱导的内高血压呈现为单侧脉动性耳
Naushin Shabnam Ali1, Barry Daniel Long1, Nauman F Manzoor1
1Department of Otolaryngology-Head and Neck Surgery, Virginia Commonwealth University, Richmond, Virginia.
Otology & neurotology open
|March 22, 2024
概括
脉动性耳声可以信号内高血压. 两例病例显示,四环素诱导的内高血压仅表现为脉动性耳,在药物停止后消失.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 药理学 药理学是指药理学的学科.
背景情况:
- 脉冲性耳 (PT) 是一种已知的异常性脑内高血压 (IIH) 的症状.
- 与PT出现的内高血压的次要原因需要临床意识.
- 环素诱导的内高血压是一种潜在的,尽管不太常见的病因.
研究的目的:
- 报告两例孤立的脉动性耳声作为内高血压的唯一症状.
- 突出四环素药物在引起内高血压方面的潜在作用.
- 强调药物审查在诊断内高血压时的重要性.
主要方法:
- 案例系列介绍了两名患有孤立的脉动性耳声的患者.
- 对患者病史,药物使用 (四环素) 和临床发现的审查.
- 在停止疑似致病药物后,评估症状的消失.
主要成果:
- 两名患者呈现出孤立的脉动性耳,没有头痛,视觉变化或乳腺瘤.
- 两位患者都有四环素 (米诺环素和多西环素) 的使用史.
- 在停止服用多西环林后,这两名患者的脉动性耳声都消失了,这表明四环环林诱导的内高血压.
结论:
- 孤立的脉动性耳声可能是内高血压的主要表现.
- 应考虑使用环素诱导的内高血压,即使表现不典型.
- 完整的药物史对于诊断和管理内高血压至关重要.
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