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一例多发性硬化症患者突发感音神经性听力损失

Sudden sensorineural hearing loss in a multiple sclerosis case.

作者信息

Tekin Muhammet, Acar Gul Ozbilen, Cam Osman Halit, Hanege Fatih Mehmet

机构信息

Department of Otorhinolaryngology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey.

Department of Otorhinolaryngology, Delta Hospital, Istanbul, Turkey.

出版信息

North Clin Istanb. 2014 Dec 8;1(2):109-113. doi: 10.14744/nci.2014.35744. eCollection 2014.

Abstract

Multiple sclerosis (MS) is the most common demyelinating disease of the central nervous system. MS involves different regions of the central nervous system in different periods, and causes demyelination. MS is a neuromotor disorder which progresses with remissions and relapses. Symptoms of MS may regress completely or heal after the relapses leaving sequelae. Sudden sensorinerural hearing loss (SSHL) is hearing loss of 30 dB or more over at least three contiguous audiometric frequencies that develops over a period of a few hours to 3 days. In 4-10 % of the MS patients, sensorineural hearing loss occurs between relapses or remissions. In this case, audiotory brainstem response (ABR) test is the most appropriate test for the diagnosis of sensorineural hearing loss in MS patients. In this article, we will discuss a patient diagnosed as MS who presented with sudden sensorineural hearing loss during the remission of the disease.

摘要

多发性硬化症(MS)是中枢神经系统最常见的脱髓鞘疾病。MS在不同时期累及中枢神经系统的不同区域,并导致脱髓鞘。MS是一种神经运动障碍性疾病,呈缓解与复发交替进展。MS的症状在复发后可能完全消退或痊愈,也可能留下后遗症。突发性感音神经性听力损失(SSHL)是指在至少三个连续听力频率上听力损失30分贝或更多,且在数小时至3天内发生。在4%至10%的MS患者中,感音神经性听力损失发生在复发期或缓解期之间。在这种情况下,听觉脑干反应(ABR)测试是诊断MS患者感音神经性听力损失最合适的测试。在本文中,我们将讨论一名被诊断为MS的患者,该患者在疾病缓解期出现突发性感音神经性听力损失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a67/5175061/cd715c901bc9/NCI-1-109-g001.jpg

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