School of Clinical Medicine, University of the Witwatersrand, Johannesburg, Gauteng, South Africa.
Ear Nose Throat J. 2022 Aug;101(7):NP308-NP310. doi: 10.1177/0145561320968934. Epub 2020 Oct 23.
Congenital deformities of the labyrinth of the inner ear may be associated with an increased risk of infection and varying degrees of otologic and vestibular dysfunction. Lateral semicircular canal abnormalities specifically can be associated with either normal hearing or hearing loss (conductive or sensorineural). In our patient, the acute symptoms of vertigo and tinnitus coincided with the diagnosis of COVID-19. It is unlikely that the symptomatology was related to the acute infection, even in the face of the underlying congenital abnormality. It has been shown that there is no correlation between the severity of the radiological abnormality and vestibular symptomatology in patients with isolated abnormalities of the semicircular canals. The abnormality can be asymptomatic.
内耳迷路的先天性畸形可能与感染风险增加以及不同程度的耳科和前庭功能障碍有关。具体来说,外侧半规管异常可与正常听力或听力损失(传导性或感音神经性)相关。在我们的患者中,眩晕和耳鸣的急性症状与 COVID-19 的诊断同时出现。即使存在潜在的先天性异常,症状也不太可能与急性感染有关。已经表明,在孤立的半规管异常患者中,放射学异常的严重程度与前庭症状之间没有相关性。该异常可能无症状。