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创伤性上半规管裂综合征:病例报告及文献综述

Traumatic superior semicircular canal dehiscence syndrome: case report and literature review.

作者信息

Aladham Youssef, Ahmed Omar, Hassan Saad Ahmed Saad, Francis-Khoury Elias

机构信息

Department of Otolaryngology and Head and Neck Surgery, Poole Hospital NHS Foundation Trust, Poole, UK.

Department of Otolaryngology, East Kent Hospitals University NHS Foundation Trust, Ashford, UK.

出版信息

J Surg Case Rep. 2021 Jan 25;2021(1):rjaa592. doi: 10.1093/jscr/rjaa592. eCollection 2021 Jan.

Abstract

Superior semicircular canal dehiscence (SSCD) syndrome was first reported in 1998 by Minor and comprises a spectrum of auditory and vestibular symptoms as a result of 'mobile third window' mechanism. The aetiology of SSCD is debated, but persistent infantile microstructure of the temporal bone was suggested. However, some authors related a 'second event', such as closed head trauma, temporal bone fracture and sudden increase in the intracranial pressure to the precipitation of its symptoms. In this article, we report a patient with a closed head trauma who developed unilateral auditory symptoms. High-resolution computed tomography images were obtained and confirmed bilateral SSCD with the normal middle ear structure. The patient was provided with a monaural hearing aid. Literature was searched for similar case reports or series where head trauma precipitated the symptoms of SSCD in anatomically susceptible individuals.

摘要

上半规管裂综合征(SSCD)于1998年由米诺首次报道,它是由“可移动第三窗”机制导致的一系列听觉和前庭症状。SSCD的病因存在争议,但有人提出颞骨存在持续的婴儿期微观结构。然而,一些作者将“二次事件”,如闭合性头部外伤、颞骨骨折和颅内压突然升高,与症状的出现联系起来。在本文中,我们报告了一名因闭合性头部外伤出现单侧听觉症状的患者。获取了高分辨率计算机断层扫描图像,证实双侧存在SSCD且中耳结构正常。为该患者配备了单耳助听器。检索文献以查找类似的病例报告或系列研究,即头部外伤在解剖学上易感个体中引发SSCD症状的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ce/7837340/d31c86407ba9/rjaa592f1.jpg

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