脉动性耳:一个叙述性审查
Andrea Salgado Alvear1, Gerardo Arrieta Limón1, Laura Michelle Reyes Martínez1
1Department of Education, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
The journal of international advanced otology
|July 22, 2025
概括
脉动性耳 (PT),一种与心跳同步的声音感知,通常源于血管问题. 早期诊断和治疗,包括微创手术,可以显著改善大多数患者的生活质量.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 血管医学 血管医学
背景情况:
- 脉动性耳 (PT) 是一种罕见的耳形式,占病例的4%,以与心跳同步的声音感知为特征.
- 常见的原因包括血管异常,如大脑管狭窄症,异常性脑内高血压,鼻狭窄症,动脉瘤和动脉静脉形.
- PT显著影响患者的生活质量,经常导致心理困扰,即使不危及生命.
研究的目的:
- 审查脉动性耳的各种病因.
- 概述目前用于识别PT起源的诊断策略.
- 总结了脉动性耳的可用管理和治疗选择.
主要方法:
- 这篇叙事综述综合了有关脉动性耳现有文献的信息.
- 它分析了PT的常见和不常见原因.
- 该审查讨论了诊断途径和治疗干预措施.
主要成果:
- 血管异常是脉动性耳声的最常见原因.
- 综合病史,临床检查和向成像对于诊断至关重要.
- 虽然在约30%的病例中,特定的原因仍未确定,但许多患者从治疗中受益.
结论:
- 脉动性耳需要彻底的诊断评估,以确定可治疗的血管或其他潜在原因.
- 最少侵入性内血管程序和外科干预在治疗PT方面显示出有前途.
- 有效的PT管理对于改善患者的整体生活质量和减少心理障碍至关重要.
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