Avci Suat, Kansu Leyla, Akkuzu Babür, Ozgirgin Nuri, Ozlüoğlu Levent
Department of Otolaryngology, Başkent University Alanya Hospital, Antalya, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2008;18(1):40-3.
A 42-year-old man presented with sensorineural hearing loss of acute onset, tinnitus, and vertigo. Physical examination revealed slight asymmetry in facial nerve functions and spontaneous nystagmus. Magnetic resonance imaging of the internal acoustic canal showed contrast enhancement consistent with edema-inflammation, being notable and diffuse in the seventh and eighth cranial nerve complex, and minimal in the cochlea. Non-hydropic cochleovestibular syndrome was considered and the patient was treated with antiviral and corticosteroid medications. A week later, facial paralysis improved and the acute hearing loss reversed. On the twelfth day of presentation, he had no complaints other than mild imbalance on abrupt changes in movement. In this type of herpetic facial paralysis in which cochleovestibular symptoms outweigh facial nerve symptoms, it might be argued that varicella zoster virus reactivation occurs in the spiral and/or vestibular ganglion.
一名42岁男性出现急性发作的感音神经性听力损失、耳鸣和眩晕。体格检查发现面神经功能略有不对称和自发性眼球震颤。内耳道磁共振成像显示与水肿-炎症一致的对比增强，在第七和第八颅神经复合体中显著且弥漫，在耳蜗中最小。考虑为非积水性耳蜗前庭综合征，患者接受了抗病毒和皮质类固醇药物治疗。一周后，面瘫改善，急性听力损失逆转。就诊第12天，除了运动突然改变时出现轻度失衡外，他没有其他不适。在这种耳蜗前庭症状超过面神经症状的疱疹性面瘫类型中，可能有人认为水痘-带状疱疹病毒在螺旋神经节和/或前庭神经节中重新激活。
