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两例搏动性耳鸣:临床医生的要点。

Two cases of pulsatile tinnitus: Key points for the clinician.

机构信息

ENT department, CHU Saint-Pierre, 322, rue Haute, 1000 Bruxelles, Belgium.

CUB Erasme, Radiology department, 808 route de Lennik, 1070 Bruxelles, Belgium.

出版信息

Eur Ann Otorhinolaryngol Head Neck Dis. 2019 Jun;136(3S):S53-S55. doi: 10.1016/j.anorl.2018.09.009. Epub 2019 Mar 11.

Abstract

INTRODUCTION

Pulsatile tinnitus is a sound generated by an acoustic source from within the body, which is perceived by the auditory system of the patient.

CASES SUMMARY

We report two puzzling cases of pulsatile tinnitus with normal ENT examinations: the first was due to a cervical internal carotid artery dissection, and the second to the compression of the foramina of Monro by a craniopharyngioma, leading to hydrocephalus.

DISCUSSION

We review the systematic management and emphasize the decisive role of the ENT clinician regarding this pulsatile tinnitus complaint, because of the potentially severe complications of its underlying pathology.

摘要

简介

搏动性耳鸣是一种由体内声源产生的声音,被患者的听觉系统感知。

病例摘要

我们报告了两例 ENT 检查正常的搏动性耳鸣的疑难病例:第一例是由于颈内动脉夹层,第二例是由于颅咽管瘤压迫 Monro 孔导致脑积水。

讨论

我们回顾了系统的管理,并强调了耳鼻喉科临床医生对此搏动性耳鸣投诉的决定性作用,因为其潜在病理的潜在严重并发症。

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