McHugh Terrance P
Department of Emergency Medicine, Palmetto Richland Memorial Hospital/University of South Carolina School of Medicine, Columbia, South Carolina, USA.
J Emerg Med. 2007 May;32(4):375-9. doi: 10.1016/j.jemermed.2006.08.015. Epub 2007 Mar 30.
A cholesteatoma can be a complication of ear infection, eustachian tube dysfunction, prior ear surgery, or tympanic membrane perforation. It is typically associated with otorrhea and conductive hearing loss; sensorineural hearing loss, dysequilibrium, facial nerve paralysis, and altered mental status signify advanced disease. The treatment is surgical and recurrences are common. A case of cholesteatoma is presented that was associated with extension into the posterior fossa and presented with only a headache and localized pain.
胆脂瘤可能是耳部感染、咽鼓管功能障碍、既往耳部手术或鼓膜穿孔的并发症。它通常与耳漏和传导性听力损失有关；感音神经性听力损失、平衡失调、面神经麻痹和精神状态改变提示病情进展。治疗方法为手术，且复发很常见。本文报告一例胆脂瘤病例，该病例伴有向后颅窝扩展，仅表现为头痛和局部疼痛。
