Hörmann K, Weh L, Fritz W, Borner U
HNO-Klinik, Städtisches Krankenhaus Kaiserslautern.
Laryngorhinootologie. 1989 Aug;68(8):456-61. doi: 10.1055/s-2007-998375.
Morphological alterations of the cranio-cervical junction as a basilar impression, a ponticulus posterior, an atlas assimilation, an intervertebral narrowing, and spondylosis deformans were found radiologically. There was no difference to a healthy population. This means there are no correlations between static morphological changes of the craniocervical junction and sudden deafness. However, there was a statistically significant reduced mobility in the upper cervical spine in patients suffering from sudden deafness. Especially very high standard deviations in the atlanto-occipital and the atlanto-dental joint are interpreted as hypermobile as well hypomobile atlas joints. These results indicate a correlation between sudden deafness and functional pathology of the craniocervical junction.
影像学检查发现颅颈交界区存在形态学改变，如基底凹陷、后小桥、寰椎融合、椎间变窄和脊柱关节病畸形。与健康人群无差异。这意味着颅颈交界区的静态形态学改变与突发性耳聋之间没有相关性。然而，突发性耳聋患者的上颈椎活动度在统计学上显著降低。尤其是寰枕关节和寰齿关节的标准差非常高，被解释为寰椎关节活动过度和活动不足。这些结果表明突发性耳聋与颅颈交界区的功能病理学之间存在相关性。
