垂体腺瘤与相关的听力损失
Su Cheol Park1, Hyeok Tae Kweon1, Sein Lee1
1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Jeonbuk National University, Jeonju, Republic of Korea.
Ear, nose, & throat journal
|December 25, 2024
概括
垂体腺瘤,良性瘤,可以导致听力损失. 通过听力学和成像学的早期诊断对于管理这种罕见的感觉神经听力障碍的原因至关重要.
科学领域:
- 神经瘤学神经瘤学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌学 在内分泌学.
背景情况:
- 垂体腺瘤可以由于质量效应而表现出各种症状.
- 听力障碍是一种不常见但显著的表现.
研究的目的:
- 报告一个垂体腺瘤病例,呈现出渐进性听力损失.
- 为了强调这种罕见的呈现的诊断和管理方面的考虑.
主要方法:
- 一个51岁的男性有渐进性听力损失的病例报告.
- 听力学评估,包括纯音调听力测量.
- 磁共振成像 (MRI) 用于瘤表征.
- 手术脱皮和玛刀放射手术.
主要成果:
- 鉴定出一个大型垂体宏腺瘤 (6 × 5.5 × 7厘米),侵入周围结构.
- 患者经历了感官神经听力损失和语音歧视缺陷.
- 在治疗后,听力呈现轻微恶化,言语歧视无法衡量.
结论:
- 在对不明原因听力损失的差异诊断中,应考虑垂体腺瘤.
- 综合性听力学和成像评估对于诊断和管理至关重要.
- 可能需要多模式治疗,包括手术和放射性手术.
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