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突发性耳聋作为小脑后下动脉梗死的首发症状:两例病例报告

Sudden deafness as an initial presenting symptom of posterior inferior cerebellar artery infarction: two case reports.

作者信息

Lee E J, Yoon Y J

机构信息

Department of Otolaryngology - Head and Neck Surgery, Chonbuk National University School of Medicine,Research Institute of Clinical Medicine of Chonbuk National University - Chonbuk National University Hospital,Jeon-ju,Korea.

出版信息

J Laryngol Otol. 2014 Nov;128(11):1011-4. doi: 10.1017/S0022215114002229. Epub 2014 Oct 2.

Abstract

OBJECTIVE

This paper reports on two patients with posterior inferior cerebellar artery infarction whose only presenting complaint was acute unilateral hearing loss.

CASE REPORTS

In the two cases reported, sudden hearing loss was an initial symptom, with no other neurological signs. Infarction in the territory of the posterior inferior cerebellar artery was diagnosed using brain magnetic resolution imaging. The patients had some degree of hearing improvement 3 or 4 days after initial treatment.

CONCLUSION

In this article, new cases of posterior inferior cerebellar artery infarction presenting as sudden deafness, without prominent neurological signs, are described. Otologists should be aware that hearing loss can sometimes appear as a warning sign of impending posterior inferior cerebellar artery infarction.

摘要

目的

本文报道了两例小脑后下动脉梗死患者,其唯一的主诉是急性单侧听力丧失。

病例报告

在报道的两例病例中,突发听力丧失是首发症状,无其他神经体征。通过脑磁共振成像诊断为小脑后下动脉供血区梗死。患者在初始治疗3或4天后听力有一定程度的改善。

结论

本文描述了以突发性耳聋为表现且无明显神经体征的小脑后下动脉梗死新病例。耳鼻喉科医生应意识到听力丧失有时可能是即将发生小脑后下动脉梗死的警示信号。

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