Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis, Missouri.
Mo Med. 2022 Nov-Dec;119(6):553-558.
Posterior fossa lesions can occur in patients of all ages. Patients present with subtle findings of hearing loss, tinnitus, headache, cranial neuropathies, imbalance, vertigo, nausea, and vomiting depending on the location and type of lesion. The presentation can be particularly insidious as the most common symptom is slowly progressive hearing loss. Posterior fossa lesions should be included in the differential diagnosis for patients with this presentation and appropriate audiologic testing and imaging should be performed. Management involves collaboration between multiple subspecialties and has evolved significantly over the years leading to increased patient involvement and improved outcomes.
后颅窝病变可发生在各年龄段的患者中。根据病变的位置和类型,患者可出现听力损失、耳鸣、头痛、颅神经病变、失衡、眩晕、恶心和呕吐等细微表现。由于最常见的症状是缓慢进行性听力损失,因此表现可能特别隐匿。对于出现这种表现的患者,应将后颅窝病变纳入鉴别诊断,应进行适当的听力学检查和影像学检查。治疗需要多个亚专业的协作,多年来已发生了重大变化,使患者的参与度提高,结果得到改善。