卵圆孔未闭可能是突发性感觉神经性听力损失的原因：病例报告。
Patent Foramen Ovale as Possible Cause of Sudden Sensorineural Hearing Loss: A Case Report.
机构信息
Department of Ear Nose and Throat and Audiology, University Hospital of Ferrara, Ferrara, Italy.
出版信息
Med Princ Pract. 2017;26(5):491-494. doi: 10.1159/000484247. Epub 2017 Oct 16.
OBJECTIVE
To present a case of sudden sensorineural hearing loss (SSNHL) and the related diagnostic workup.
CLINICAL PRESENTATION AND INTERVENTION
A 54-year-old man presented with a unilateral SSNHL episode and vertigo. A severe patent foramen ovale (PFO) that included a complete ear nose and throat, audiological, and neurological examination was discovered during the diagnostic workup. Audiometry, blood, and serological tests were performed. Magnetic resonance imaging and color Doppler echography of the supra-aortic trunks and lower limbs were carried out. Finally, transthoracic followed by transesophageal echocardiography and transcranial Doppler were performed in order to confirm the diagnosis of PFO. Medical therapy with systemic steroid and antiplatelet drugs was administered.
CONCLUSIONS
This case showed a small PFO associated with an aneurysmatic interatrial septum. The PFO and paradoxical thromboembolism could be involved in the pathogenesis of SSNHL.
目的
介绍一例突发性聋（SSNHL）病例及相关诊断检查。
临床表现与干预
一名 54 岁男性出现单侧 SSNHL 伴眩晕。在诊断过程中发现严重的卵圆孔未闭（PFO），包括耳鼻喉科、听力学和神经系统检查。进行了听力测试、血液和血清学检查。进行了主动脉干和下肢的磁共振成像和彩色多普勒超声检查。最后，进行了经胸和经食管超声心动图以及经颅多普勒检查，以确认 PFO 的诊断。给予全身皮质类固醇和抗血小板药物治疗。
结论
本例患者存在小的 PFO 并伴有房间隔瘤样膨出。PFO 和矛盾性血栓栓塞可能与 SSNHL 的发病机制有关。
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