Hornigold Rachael, Pearch Ben J, Gleeson Michael J
Department of Otolaryngology and Skull Base Surgery, Guy's Hospital, London, United Kingdom.
Skull Base. 2003 May;13(2):113-117. doi: 10.1055/s-2003-820567.
The Tullio phenomenon is an extremely rare condition in which loud noise induces a brisk vestibular response. Osteomas of the middle ear cleft are also uncommon. We report a patient with an osteoma of the middle ear cleft that became symptomatic with progressive facial palsy and mixed hearing loss. The onset was heralded by the Tullio phenomenon, which she had experienced for 10 years. The differential diagnosis of the Tullio phenomenon and the management of middle ear osteomas are discussed.
图利奥现象是一种极为罕见的病症,即高强度噪声引发快速的前庭反应。中耳裂骨瘤也较为少见。我们报告了一例中耳裂骨瘤患者,该患者出现进行性面瘫和混合性听力损失的症状。发病由图利奥现象预示,她已经历此现象达10年之久。文中讨论了图利奥现象的鉴别诊断及中耳骨瘤的治疗方法。