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一例布朗-维阿莱托-范莱尔综合征病例:一种突发性听觉神经病谱系障碍。

A Case with Brown-Vialetto-Van Laere Syndrome: A Sudden Onset Auditory Neuropathy Spectrum Disorder.

作者信息

Mutlu Başak, Topçu Merve Torun, Çiprut Ayça

机构信息

Department of Audiology, İstanbul Medeniyet University School of Health Sciences, İstanbul, Turkey.

Department of Audiology, Marmara University School of Medicine, İstanbul, Turkey.

出版信息

Turk Arch Otorhinolaryngol. 2019 Dec;57(4):201-205. doi: 10.5152/tao.2019.4639. Epub 2019 Dec 1.

Abstract

The Brown-Vialetto-Van Laere syndrome (BVVLS) is a rare neurological disorder that may present at all ages with sensorineural hearing loss, bulbar palsy and respiratory compromise. We describe a 6-year-old male patient who suffered bilateral sudden onset severe hearing loss for two years. Audiological investigations revealed sudden onset auditory neuropathy spectrum disorder bilaterally. He also had neurological complaints. During riboflavin therapy an improvement in hearing loss and the benefit of hearing aids were observed. In BVVLS, it is difficult to plan and apply auditory rehabilitation interventions and the results vary from patient to patient. In audiological evaluation, it should be borne in mind that subjective and objective tests are complemental. Early medical intervention and regular audiological follow-up are very important for effective hearing rehabilitation in the patients with BVVLS.

摘要

布朗-维阿莱托-范莱尔综合征(BVVLS)是一种罕见的神经系统疾病,可在任何年龄段出现,伴有感音神经性听力损失、延髓麻痹和呼吸功能障碍。我们描述了一名6岁男性患者,他双侧突发严重听力损失已两年。听力学检查显示双侧突发听觉神经病谱系障碍。他也有神经方面的主诉。在核黄素治疗期间,观察到听力损失有所改善,且助听器有帮助。在BVVLS中,很难规划和实施听觉康复干预措施,而且结果因患者而异。在听力学评估中,应牢记主观和客观测试是相辅相成的。早期医学干预和定期听力学随访对于BVVLS患者的有效听力康复非常重要。

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