评估脑积水患者分流术前和术后的感音神经性听力损失。
To Evaluate the Pre and Post Shunt Sensorineural Hearing Loss in Hydrocephalus Patients.
作者信息
Verma Manish, Singh Jagat, Singh Ishwar, Kakkar Vikas, Yadav S P S, George Jitu Sam
机构信息
Department of Otorhinolaryngology, Pt.BD Sharma Postgraudate Institute of Medical Sciences, Rohtak, Haryana India.
Department of Neurosurgery, Pt.BD Sharma Postgraudate Institute of Medical Sciences, Rohtak, Haryana India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1314-1319. doi: 10.1007/s12070-018-1372-x. Epub 2018 May 8.
Hydrocephalus means watery head and defined as disturbance of formation, flow, or absorption of cerebrospinal fluid. The clinical presentation of hydrocephalus includes hearing loss especially sensorineural hearing loss (SNHL). Ventriculoperitoneal (VP) shunting is the most commonly performed procedure in these patients. Pure tone audiogram, impedence and BAEPs, were done for preoperative hearing assessment in 20 hydrocephalus patients. Out of 20 patients, 12 cases (60%) had SNHL while, rest 8 (40%) patients had mixed hearing loss. Post VP shunting hearing improvement was observed in 14 patients (70%) whereas it worsened in 30% of patients. The result is even better if shunt is placed at early age.
脑积水意味着头部积水，被定义为脑脊液形成、流动或吸收的紊乱。脑积水的临床表现包括听力丧失，尤其是感音神经性听力损失（SNHL）。脑室腹腔（VP）分流术是这些患者最常进行的手术。对20例脑积水患者进行了纯音听力图、声阻抗和脑干听觉诱发电位检查，以进行术前听力评估。在20例患者中，12例（60%）有感音神经性听力损失，其余8例（40%）患者有混合性听力损失。14例（70%）患者在VP分流术后听力得到改善，而30%的患者听力恶化。如果在早期进行分流，结果会更好。
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