Landis B N, Frasnelli J, Hummel T
Smell & Taste Clinic, Department of Otorhinolaryngology, University of Dresden Medical School, Dresden, Germany.
Acta Otolaryngol. 2006 Jan;126(1):101-3. doi: 10.1080/00016480510043954.
The nature of qualitative olfactory disorders such as phantosmia and parosmia is a matter of debate. Parosmia and phantosmia mainly occur in combination with post-traumatic or post-infectious olfactory loss. Rare causes of these disorders such as brain tumors, side-effects of drugs, paraneoplastic syndromes, psychiatric disorders or intracerebral haemorrhage have been reported. Parosmias are distorted sensations of smell elicited by an odor, whereas phantosmias persist permanently or occur without the presence of an odor source. Phantosmias differ widely in terms of their nature. In contrast, parosmias always seem to be unpleasant. We report the case of a female with post-infectious hyposmia who reported a pleasant parosmia to selected odorants. We have called this rare clinical presentation euosmia.
嗅觉定性障碍,如嗅觉幻觉和嗅觉倒错,其本质存在争议。嗅觉倒错和嗅觉幻觉主要与创伤后或感染后嗅觉丧失同时出现。这些障碍的罕见病因,如脑肿瘤、药物副作用、副肿瘤综合征、精神障碍或脑出血,已有相关报道。嗅觉倒错是由一种气味引发的嗅觉扭曲感觉,而嗅觉幻觉则持续存在或在没有气味源的情况下出现。嗅觉幻觉在性质上差异很大。相比之下,嗅觉倒错似乎总是令人不快的。我们报告了一例感染后嗅觉减退的女性病例,该患者报告对某些气味剂有一种愉悦的嗅觉倒错。我们将这种罕见的临床表现称为嗅觉正常。