Morgenstern C, Kau R
HNO-Klinik der Universität Düsseldorf.
Laryngol Rhinol Otol (Stuttg). 1988 Dec;67(12):621-3.
The clinical features of pontine deafness are demonstrated in six patients with typical findings in pure-tone audiogram and speech audiometry, in stapedial reflex recordings, in brainstem-evoked potentials and cortical evoked potentials. The results of positron emission tomography (PET), magnetic response tomography (MRT), electrocochleography and the promontory test are presented. Results of cerebral spinal fluid and antibody titres in the serum are given. Pontine deafness is characterised by an interruption of the central auditory pathway cranial to the olive. This deafness should be differentiated from other forms of sensorineural hearing loss. The pathogenesis of pontine deafness is still unknown. However we should take it into consideration in the diagnosis of sudden unilateral deafness. No medical treatment method is known to date.
6例患者表现出脑桥性耳聋的临床特征,其纯音听力图、言语测听、镫骨肌反射记录、脑干诱发电位和皮质诱发电位均有典型表现。文中呈现了正电子发射断层扫描(PET)、磁共振断层扫描(MRT)、耳蜗电图和岬试验的结果。给出了脑脊液检查结果和血清抗体滴度。脑桥性耳聋的特征是橄榄上方的中枢听觉通路中断。这种耳聋应与其他形式的感音神经性听力损失相鉴别。脑桥性耳聋的发病机制尚不清楚。然而,在诊断突发性单侧耳聋时应予以考虑。迄今为止,尚无已知的药物治疗方法。