Ayerbe I, Ucelay I, Portmann D, Nègrevergne M, Bovard D
C.H.R.U. Pellegrin Tripode, Clinique ORL, Bordeaux, France.
Rev Laryngol Otol Rhinol (Bord). 1991;112(2):165-8.
The authors present a case of a cochleovestibular syndrome with a scanner showing a calcified dolico-ektasis of the basilar truncus and the left vertebral artery. The patient had typical Ménière's disease symptomatology. A retrolabyrinthic diagnosis with substantial recruitment was indicated by the results of the audio-vestibular explorations (stapedius reflex, electroculography, early brainstem evoked response, electrocochleography). The electrocochleography with glycerol test indicated labyrinthic hydrops. Finally, some reflections on the role of neurovascular problems in the pathogeny of some cochleovestibular syndromes are put forward.
作者报告了一例耳蜗前庭综合征病例,扫描显示基底干和左椎动脉存在钙化的长扩张。患者有典型的梅尼埃病症状。听前庭检查(镫骨肌反射、眼震电图、早期脑干诱发电位、耳蜗电图)结果提示为迷路后诊断且有大量重振。甘油试验耳蜗电图提示迷路积水。最后,对神经血管问题在某些耳蜗前庭综合征发病机制中的作用提出了一些思考。