Mun Seog-Kyun, Hong Young-Ho, Kang Suk-Hyung, Hwang Sung-Nam
Department of Otorhinolaryngology-Head and Neck Surgery, Yongsan Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
J Korean Neurosurg Soc. 2010 Nov;48(5):438-40. doi: 10.3340/jkns.2010.48.5.438. Epub 2010 Nov 30.
A 57-year-old man presented to the outpatient department with sudden bilateral hearing loss. The otological examination suggested bilateral severe sensorineural hearing loss. After several hours, the patient complained of a headache and became drowsy. The brain computed tomography showed a 3 × 4 cm intracerebral hemorrhage (ICH) of the left temporal lobe. Surgery was performed and 34 days after the procedure the patient was discharged from the hospital with severe bilateral sensorineural hearing loss (SNHL). Temporal lobe ICH should be considered in the differential diagnosis of patients with sudden bilateral hearing loss, regardless of the other neurological symptoms.
一名57岁男性因突发双侧听力丧失就诊于门诊。耳科检查提示双侧严重感音神经性听力丧失。数小时后,患者诉头痛并出现嗜睡。脑部计算机断层扫描显示左颞叶有一个3×4厘米的脑出血(ICH)。患者接受了手术,术后34天出院,仍有严重的双侧感音神经性听力丧失(SNHL)。对于突发双侧听力丧失的患者,无论有无其他神经系统症状,均应考虑颞叶脑出血进行鉴别诊断。