Berenholz L P, Eriksen C, Hirsh F A
Department of Otolaryngology, Jefferson University Hospital, Philadelphia, Pennsylvania.
Ann Otol Rhinol Laryngol. 1992 Oct;101(10):827-31. doi: 10.1177/000348949210101005.
Sensorineural hearing loss of sudden onset may be the presenting symptom in up to 14% of patients with acoustic neuroma. We present the first reported case of sudden hearing loss in an only hearing ear with recovery to normal levels after steroid therapy on four separate occasions. Evaluation revealed a 1.5-cm acoustic neuroma. After middle cranial fossa decompression, a fifth episode with recovery after steroid use was documented. A review of the recent literature is presented, emphasizing the possible causation of sudden sensorineural hearing loss with recovery to normal in patients with acoustic neuroma. Modalities of therapy for the dilemma of the acoustic neuroma in an only hearing ear are discussed, including surgery, radiotherapy, and chemotherapy. An aggressive approach to the evaluation of the cause of sudden hearing loss is suggested.
突发性感音神经性听力损失可能是高达14%的听神经瘤患者的首发症状。我们报告了首例单耳突发听力损失且在四次单独使用类固醇治疗后恢复至正常水平的病例。评估发现一个1.5厘米的听神经瘤。在中颅窝减压术后，记录到第五次使用类固醇后听力恢复的情况。本文对近期文献进行了综述，强调了听神经瘤患者突发感音神经性听力损失并恢复正常的可能病因。讨论了针对单耳听神经瘤困境的治疗方式，包括手术、放疗和化疗。建议对突发听力损失的病因进行积极评估。
