儿童迷路炎的耳蜗植入物映射和前庭功能的演变。
Evolution of Cochlear implant mapping and vestibular function in a pediatric case of Labyrinthitis.
机构信息
Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA.
Department of Otolaryngology, Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
出版信息
J Otolaryngol Head Neck Surg. 2020 Feb 5;49(1):7. doi: 10.1186/s40463-020-0403-2.
BACKGROUND
Vestibular symptoms such as vertigo and imbalance are known to occur in some cochlear implant patients during the immediate postoperative period; however, acute vertigo in implanted children occurring remotely from the postoperative period has not been previously well-described.
CASE PRESENTATION
A three-year-old girl with a history of bilateral sequential cochlear implantation presented with acute labyrinthitis associated with sudden onset of vertigo, balance impairment, and decline in right cochlear implant function 2 years after her most recent implant surgery. We describe her audiological and vestibular testing results during both the acute phase and following medical management and recovery.
CONCLUSION
Acute labyrinthitis should be considered when sudden onset vertigo and/or imbalance presents in children with cochlear implants outside of the perioperative period. Such symptoms should prompt early assessment of cochlear implant function, so that the device can be reprogrammed accordingly.
背景
已知一些耳蜗植入患者在术后即刻会出现前庭症状，如眩晕和平衡障碍；然而，此前尚未很好地描述过植入儿童在术后期间以外出现急性眩晕的情况。
病例介绍
一名三岁女孩，双侧序贯进行了耳蜗植入，在最近一次植入手术后 2 年，出现急性迷路炎，伴有突发性眩晕、平衡障碍和右侧耳蜗植入功能下降。我们描述了她在急性发作期间和接受药物治疗及康复期间的听力学和前庭测试结果。
结论
当耳蜗植入儿童在术后期间以外出现突发性眩晕和/或平衡障碍时，应考虑急性迷路炎。此类症状应促使早期评估耳蜗植入功能，以便相应地对设备进行重新编程。
Zotero 插件