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[前庭蜗神经血管压迫综合征——耳鼻咽喉科及放射学诊断]

[Vascular compression syndrome of the vestibulocochlear nerve--otolaryngologic and radiologic diagnosis].

作者信息

Gierek T, Kluczewska E, Pilch J, Zygan Ł

机构信息

Katedra i Klinika Laryngologii Slaskiej AM w Katowicach.

出版信息

Otolaryngol Pol. 2000;54(6):763-7.

PMID:11265389
Abstract

Vascular compression syndrome is the term used to classify a group of conditions though to be caused by the compression of cranial nerve by vessel. In the most cases the contact of vascular loop formed by the anterior inferior cerebellar artery (AICA) with the eight and facial nerve correlated with unilateral auditory symptoms or hemifacial spasms. The vascular compression syndrome of vestibulocochlear nerve in 8 patients treated in I ENT Clinic of Silesian Academy and MRI Department in Katowice was observed. All patients were otologic findings such as a tone audiometry, ENG, ABR and radiological diagnostics included MRI and angio MRI. The prospective analysis was performed. The results suggest that the unilateral sensorineural hearing loss, tinnitus, vestibular disorders and positive findings on magnetic resonance imaging are the most reliable evidence for the presence neurovascular compression syndrome of the eight cranial nerve. The MRI and otologic studies provided quite detailed information about topography of relationship between the blood vessels and cranial nerves in the crebellopontine cistern.

摘要

血管压迫综合征是用于对一组被认为由血管压迫脑神经所引起病症进行分类的术语。在大多数情况下,由小脑前下动脉(AICA)形成的血管袢与第八对脑神经及面神经的接触与单侧听觉症状或半面痉挛相关。观察了在西里西亚医学院耳鼻喉科诊所和卡托维兹市磁共振成像科接受治疗的8例患者的前庭蜗神经血管压迫综合征。所有患者均进行了诸如纯音听力测定、眼震电图、听性脑干反应等耳科检查以及包括磁共振成像和磁共振血管造影在内的放射学诊断。进行了前瞻性分析。结果表明,单侧感音神经性听力损失、耳鸣、前庭障碍以及磁共振成像的阳性结果是第八对脑神经存在神经血管压迫综合征的最可靠证据。磁共振成像和耳科研究提供了有关脑桥小脑角池内血管与脑神经之间关系的详细地形信息。

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1
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Otolaryngol Pol. 2000;54(6):763-7.
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