Deng Yan, Shi Jin, Zhang Ming, Qi Xueliang
Department of Neurology, The Second Affiliated Hospital of Nanchang University, No. 1, Minde Road, Nanchang, 330006, Jiangxi Province, China.
Department of Neurosurgery, The Second Affiliated Hospital of Nanchang University, No. 1, Minde Road, Nanchang, 330006, Jiangxi Province, China.
Neurol Sci. 2021 Jan;42(1):141-150. doi: 10.1007/s10072-020-04515-1. Epub 2020 Jun 16.
To summarize and analyze the clinical data of 12 Chinese patients of cerebral hemorrhage with bilateral sudden deafness as the first symptom and to explore the relationship between cerebral hemorrhage and bilateral sudden deafness.
Retrospective analysis of clinical data of patients, including age, clinical manifestations, location of cerebral hemorrhage, hearing loss, and recovery.
The average age of onset in 12 patients was 53.92 years, 9 had a history of hypertension, 7 had a history of stroke, and 6 had typical stroke symptoms. There were 7 cases of basal ganglia hemorrhage; 2 cases of cerebellum hemorrhage; and 1 case of pontine hemorrhage, temporal lobe hemorrhage, and thalamus infarction. The auditory brainstem evoked potential test results of 3 patients were normal, and 5 of 6 patients who completed pure tone audiometry had hearing impairment. Five out of 9 patients had basically or completely recovered hearing.
The results showed that patients were mostly middle-aged and elderly with no typical stroke symptoms, and a history of stroke and hypertension increased the risk of hearing loss. The cause of hearing loss in patients with cerebral hemorrhage may be related to the damage of the hearing conduction pathway or (and) the lack of blood supply to the central auditory nervous system. Detecting hearing impairment in time and actively intervening can help most patients to improve their hearing significantly. The degree of hearing damage and recovery is related to the bleeding site, the amount of bleeding, and the timely treatment.
总结分析12例以双侧突发性耳聋为首发症状的脑出血中国患者的临床资料，探讨脑出血与双侧突发性耳聋之间的关系。
回顾性分析患者的临床资料，包括年龄、临床表现、脑出血部位、听力损失情况及恢复情况。
12例患者的平均发病年龄为53.92岁，9例有高血压病史，7例有中风病史，6例有典型中风症状。基底节区出血7例；小脑出血2例；脑桥出血、颞叶出血及丘脑梗死各1例。3例患者的听性脑干诱发电位测试结果正常，6例完成纯音听力测定的患者中有5例存在听力障碍。9例患者中有5例听力基本或完全恢复。
结果显示患者多为中老年，无典型中风症状，中风和高血压病史增加了听力损失风险。脑出血患者听力损失的原因可能与听力传导通路受损或（和）中枢听觉神经系统供血不足有关。及时检测听力障碍并积极干预可帮助大多数患者显著改善听力。听力损害及恢复程度与出血部位、出血量及及时治疗有关。
