Lin Feng, Wu Qianru, Zhang Yibo, Dai Chunfu
Department of Otorhinolaryngology，Fudan University Eye and ENT Hospital，Key Laboratory of Auditory Medicine of the National Health Commission，Shanghai，200031，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Aug;37(8):670-672. doi: 10.13201/j.issn.2096-7993.2023.08.015.
Delayed endolymphatic hydrops （DEH） is a rare disease that causes vertigo and is often misdiagnosed as other vertigo diseases. This article reports on a patient with vertigo who was easily misdiagnosed. The patient was a middle ear cholesteatoma complicated by labyrinthine fistula （LF）; however, his vertigo was episodic vertigo, which could not be explained solely by LF causing labyrinthitis. The possibility of endolymphatic hydrops was suspected, which was confirmed by inner ear magnetic resonance gadolinium imaging. This is the first reported case of middle ear cholesteatoma complicated by LF and DEH. The patient underwent surgical resection of the cholesteatoma and three semicircular canal obstructions at the same time. During two years postoperative follow-up, the patient did not experience a recurrence of vertigo. When diagnosing vertigo diseases, a careful history of vertigo is of utmost importance.
迟发性内淋巴积水（DEH）是一种导致眩晕的罕见疾病，常被误诊为其他眩晕疾病。本文报道了一名易被误诊的眩晕患者。该患者为中耳胆脂瘤合并迷路瘘管（LF）；然而，他的眩晕为发作性眩晕，不能仅用LF导致迷路炎来解释。怀疑有内淋巴积水的可能，内耳磁共振钆造影成像证实了这一点。这是首例报道的中耳胆脂瘤合并LF和DEH的病例。该患者同时接受了胆脂瘤及三个半规管阻塞的手术切除。术后两年随访期间，患者眩晕未复发。在诊断眩晕疾病时，详细的眩晕病史至关重要。
