Schmidt Jesper Hvass, Soll Nicolai Højmose, Svane-Knudsen Viggo
Odense Universitetshospital, Øre-naesehalskirurgisk Afdeling F, Odense C, Denmark.
Ugeskr Laeger. 2010 Feb 8;172(6):462-3.
A 45-year-old woman with long-term unilateral ear problems, hearing loss, vertigo and tinnitus was diagnosed with a meningioma in the middle ear. Magnetic resonance imagining (MRI) revealed that the meningioma penetrated the petrous bone into the middle ear. The meningioma was removed to avoid further hearing loss. Patients with long-term unilateral ear problems that are resistant to conventional therapy should be referred to computed tomography, MRI and explorative tympanotomy. Surgery is indicated if progressions in neurological deficits are seen, but surgery may cause serious neurological deficits.
一名45岁女性长期存在单侧耳部问题、听力丧失、眩晕和耳鸣，被诊断为中耳脑膜瘤。磁共振成像（MRI）显示脑膜瘤穿透岩骨进入中耳。切除脑膜瘤以避免听力进一步丧失。对于长期存在单侧耳部问题且对传统治疗无效的患者，应进行计算机断层扫描、MRI和探查性鼓室切开术。如果出现神经功能缺损进展，则需进行手术，但手术可能会导致严重的神经功能缺损。
