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病例报告:经过半关节性心脏病发作后的急性听觉静脉表现
Nehzat Koohi1,2, Salman Haider2, Natallia Kharytaniuk3,4
1Department of Clinical and Movement Neurosciences, University College London, Queen Square Institute of Neurology, London, United Kingdom.
Frontiers in stroke
|January 16, 2026
概括
后部循环中风可能导致突然听力损失. 这一案例突出显示了一种罕见的逆侧突发感应神经听力损失和因关节心脏病发作而导致的隔离前庭功能障碍.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 血管神经学 血管神经学
背景情况:
- 后循环中风是一种罕见的突然发作的感觉神经听力损失 (SSNHL) 的原因.
- 前下大脑小动脉阻塞通常会导致ipsilateral外围音频口腔问题.
- 不常见的报道是逆侧SSNHL与急性前庭和焦点神经症状从后部循环中风.
研究的目的:
- 报告一个独特的逆侧SSNHL病例和孤立的急性中枢前庭功能障碍.
- 强调后部循环中风的诊断挑战,没有其他焦点神经缺陷.
主要方法:
- 一个患有不对称的SSNHL和孤立的听觉支柱信号的患者的病例介绍.
- 临床检查包括视频头部脉冲测试 (vHIT),以评估前庭眼反射 (VOR).
- 磁共振成像 (MRI) 用于确认关节梗塞.
主要成果:
- 患者呈现出不对称的SSNHL,微妙的斜偏差,左侧头部倾斜,以及在vHIT上显著的再固定动.
- 尽管有中央前庭征兆,但观察到正常的双边VOR增长.
- 磁力共振成像证实了左关节心脏病发作,与临床表现一致.
结论:
- 这种病例代表了一种罕见的后部循环中风,导致逆侧SSNHL和孤立的中枢前庭功能障碍.
- 彻底的临床评估对于诊断后部循环中风至关重要,尤其是在存在孤立的听觉静脉缺陷和其他神经症状最小的情况下.
- 早期诊断和适当的抗血小板治疗对于管理此类中风事件至关重要.
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