一个免疫能力强,患有西尼罗河脑炎的患者突然感觉神经听力损失
Raj Malhotra1, Barrie Schmitt2, Ken Tyler2
1Department of Otolaryngology - Head and Neck Surgery Rutgers New Jersey Medical School Newark New Jersey USA.
Laryngoscope investigative otolaryngology
|July 18, 2025
概括
西尼罗河病毒 (WNV) 可以导致突然的感觉神经听力损失 (SSNHL),即使在免疫能力强的个体. 这一案例凸显了与WNV相关的SSNHL有显著听力恢复的潜力.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 神经科学是一个神经科学.
背景情况:
- 突然感觉神经听力损失 (SSNHL) 往往是特异性听力损失,但可能与感染有关.
- 神经侵入性西尼罗病毒 (WNV) 是SSNHL的罕见原因,通常在免疫功能低下的患者中发现,听力不佳.
研究的目的:
- 报告一个患有WNV感染的免疫能力强的患者的SSNHL病例.
- 讨论与WNV相关的SSNHL听力恢复的可能性.
主要方法:
- 案例报告和文献综述.
- 一个55岁的免疫能力强的女性,双边听力损失和失衡.
- 诊断评估包括听力测量和WNV抗体的血清学测试.
主要成果:
- 听力图证实了双边的SNHL.
- 检测到高的CSF和血清IgG和IgM抗体对WNV.
- 患者在保守的管理下经历了显著的听力改善.
结论:
- 在美国,WNV应该被认为是SSNHL的潜在原因,特别是在夏末和秋季.
- 与WNV相关的SSNHL听力损失的预后可能是可变的.
- 对于有严重听力损失且没有显著恢复的患者,应考虑使用耳植入器.
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