Suzuki M, Sakai T, Hirakawa K, Oya T, Yajin K, Harada Y, Kanzaki J
Department of Otolaryngology, Hiroshima University, School of Medicine, Japan.
Auris Nasus Larynx. 1987;14(3):165-70. doi: 10.1016/s0385-8146(87)80017-2.
A case of acoustic neuroma presenting with sudden and fluctuating hearing loss is reported. The patient was a 38-year-old Japanese woman who noticed a sudden onset of hearing loss and tinnitus in the right ear. With a provisional diagnosis of sudden deafness, she was subjected to conservative therapy, including steroid hormone. The hearing started to recover and reached a normal level 2 months after the treatment. Meanwhile, the results of an ABR and plain skull X-rays aroused a suspicion of acoustic neuroma. She was operated on via a middle cranial fossa approach and an acoustic neuroma occupying the internal auditory meatus was removed.
报告了一例以突发性和波动性听力损失为表现的听神经瘤病例。患者为一名38岁的日本女性，她注意到右耳突然出现听力损失和耳鸣。初步诊断为突发性耳聋后，她接受了包括类固醇激素在内的保守治疗。治疗2个月后听力开始恢复并达到正常水平。与此同时，听性脑干反应（ABR）和头颅平片的结果引发了对听神经瘤的怀疑。她通过中颅窝入路接受了手术，切除了占据内耳道的听神经瘤。
