在接受等待和扫描管理的静脉瘤患者的听力改善
Jason K Adams1, Zachary G Schwam1, George B Wanna1
1Department of Otolaryngology, Head, and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, USA.
Ear, nose, & throat journal
|July 16, 2025
概括
静脉 schwannoma,一种良性瘤,可以导致波动性听力损失. 本案例研究显示,在保守治疗患者的初始衰退后,听力意外恢复.
科学领域:
- 神经瘤学神经瘤学
- 听力学 听力学是指听力学.
- 神经外科 神经外科
背景情况:
- 静脉神经瘤是第八大脑神经的良性瘤.
- 常见的症状包括听力损失,耳和失衡.
- 不对称的听力损失是一个频繁的初始表现.
研究的目的:
- 报告一个独特的前置神经瘤病例与波动性听力损失.
- 为了突出前庭神经瘤中听力变化的可变自然史.
- 讨论对患者管理和听力康复的影响.
主要方法:
- 一个73岁的先生的病例报告,他患有单侧前庭神经瘤.
- 管理方法:等待和扫描.
- 串行听力测量和成像后续检查.
主要成果:
- 最初的诊断是单侧前庭神经瘤,呈现出不对称的听力损失.
- 瘤显示出有限的生长和囊性成分的固化.
- 渐进性神经感官听力损失 (SNHL) 恶化到严重,语音歧视差.
- 在1年的随访中观察到,听力显著改善到可服务的水平.
结论:
- 听力损失在前庭神经瘤可以是可变的,包括下降和恢复.
- 保守的管理可能允许意外的听力功能回归.
- 这一案子影响了前置神经瘤患者听力康复的决策.
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