Institute of Clinical Neuroscience, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Missenden Road, Camperdown, NSW 2050, Australia.
Healthy Hearing and Balance Care, Sydney, NSW, Australia.
J Clin Neurosci. 2014 Jun;21(6):1060-3. doi: 10.1016/j.jocn.2013.08.021. Epub 2013 Oct 30.
Prolonged acute spontaneous vertigo can be secondary to acute vestibular neuritis or posterior circulation ischaemia. We present a 66-year-old man who first developed an acute vestibular syndrome with profound unilateral hearing loss 34 years ago. First treated as vestibular neuritis, he subsequently developed manifestations of Behçet's disease, including mouth ulcers, genital ulcers and erythema nodosum over a period of 10 years. Subsequently, sudden sensorineural hearing loss affecting his only hearing ear responded to immunomodulation, confirming an autoimmune cause for the audiovestibular symptoms. This report serves as a reminder that vestibular neuritis seldom causes hearing loss; ischaemic, infective and autoimmune causes should be sought when an acute vestibular syndrome is accompanied by hearing impairment.
持续性急性自发性眩晕可能继发于急性前庭神经炎或后循环缺血。我们报告了 1 例 66 岁男性，他 34 年前首次出现急性前庭综合征，伴有单侧深度听力损失。最初被诊断为前庭神经炎，随后他出现了贝赫切特病的表现，包括口腔溃疡、生殖器溃疡和结节性红斑，持续了 10 年。随后，影响他唯一听力耳朵的突发性感音神经性听力损失对免疫调节有反应，证实了听觉前庭症状的自身免疫原因。本报告提醒我们，前庭神经炎很少引起听力损失；当急性前庭综合征伴有听力损伤时，应寻找缺血性、感染性和自身免疫性原因。
