间歇性听是弓猎人综合征的前体:家庭医生,耳鼻科医生和中风专家的诊断考虑
Mohamed H Ahmed1,2,3, Chiemelie Oddie-Okeke4, Allam Alnawasrah4
1Department of Geriatric Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, UK.
Journal of family medicine and primary care
|December 17, 2025
概括
弓猎人综合征 (BHS) 可以导致间歇性听,这是一个罕见的症状. 这一案例凸显了在患有不明原因听力损失和神经症状的患者中考虑BHS的重要性,促使进行血管成像.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 脊椎骨功能不全可以表现为各种神经系统症状.
- 弓猎人综合征 (BHS),以脊椎动脉 (VA) 狭窄或解剖因头部旋转而加剧的特征,是后部循环中风的罕见原因.
- BHS与听觉症状之间的关联非常罕见.
研究的目的:
- 报告一种罕见的弓猎人综合征病例,呈现间歇性耳聋.
- 为了强调脊椎基底病理和听力障碍之间的潜在联系.
- 为突出早期诊断和预防脑血管事件的临床影响.
主要方法:
- 一个34岁的女性患有神经症状的病例报告,包括头痛,视力障碍和不稳定.
- 诊断工作包括计算机断层扫描 (CT) 头部,脑部的磁共振成像 (MRI) 和部的MR血管造影.
- 血管成像显示左脊椎动脉剖析 (V3段) 与BHS一致.
主要成果:
- 患者表现为头痛,视力障碍和不稳定,左耳间歇性耳聋.
- 核磁共振扫描证实了后部循环 (小脑,头和顶叶) 中的急性心脏病发作.
- 核磁共振扫描显示左脊椎动脉切割,这表明了弓猎人综合征.
结论:
- 这一案例表明,猎人综合征与间歇性听之间存在潜在的,尽管很少见的联系.
- 对于呈现出偶发性耳听力患者的差异诊断中,应考虑BHS,特别是当伴有神经症状并且没有明确的耳鼻科发现时.
- 早期血管成像对于诊断BHS和预防潜在的破坏性脑血管事件至关重要.
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