Street S, Fagan P, Roche J
Department of ENT, Royal Glamorgan Hospital, Llantrissant, Wales, UK.
J Laryngol Otol. 2009 Jul;123(7):804-6. doi: 10.1017/S0022215108003915. Epub 2008 Oct 17.
To highlight a case of spontaneous intracranial hypotension presenting to the ENT surgeon.
We present a case report and a review of the literature concerning spontaneous intracranial hypotension.
Spontaneous intracranial hypotension is a rare diagnosis, particularly to the ENT surgeon. We report a patient with tinnitus, hearing loss and headache, symptoms suggestive of an ENT diagnosis such as Ménière's disease or vestibular schwannoma. However, magnetic resonance imaging revealed the characteristic findings of spontaneous intracranial hypotension. The patient's symptoms resolved, except for a mild residual tinnitus, with conservative management alone.
This case highlights the importance of considering spontaneous intracranial hypotension as a differential diagnosis of certain ENT symptoms.
强调一例呈现给耳鼻喉科医生的自发性颅内低压病例。
我们呈现一例病例报告并对有关自发性颅内低压的文献进行综述。
自发性颅内低压是一种罕见的诊断,尤其对于耳鼻喉科医生而言。我们报告一名患有耳鸣、听力损失和头痛的患者,这些症状提示为耳鼻喉科疾病诊断,如梅尼埃病或前庭神经鞘瘤。然而,磁共振成像显示出自发性颅内低压的特征性表现。仅通过保守治疗,患者的症状得以缓解,仅残留轻度耳鸣。
本病例强调了将自发性颅内低压作为某些耳鼻喉科症状鉴别诊断的重要性。