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自发性颅内低压:姿势性前庭蜗症状的罕见病因

Spontaneous Intracranial Hypotension: An Uncommon Cause of Postural Vestibulocochlear Symptoms.

作者信息

Sharp Samuel, Silbert Peter L, Davies Scott, Friedland Peter

机构信息

Department of Otolaryngology Head and Neck Surgery, Joondalup Health Campus, Perth, WA, Australia.

Medical School, University Western Australia, Perth, WA, Australia.

出版信息

Ear Nose Throat J. 2023 Aug 19:1455613231194431. doi: 10.1177/01455613231194431.

Abstract

Spontaneous intracranial hypotension is an uncommon but increasingly recognized condition characterized by an orthostatic headache secondary to low cerebrospinal fluid pressure. Vestibulocochlear symptoms are common but rarely the only presenting feature and can be challenging to differentiate from Meniere's disease. We present a case series that highlights the common vestibulocochlear symptoms and a review of the literature to increase awareness amongst otolaryngologists and highlight the path to diagnosis and management of this condition.

摘要

自发性颅内低压是一种不常见但越来越受到认可的疾病,其特征为继发于脑脊液压力降低的体位性头痛。前庭蜗症状很常见,但很少是唯一的表现特征,且难以与梅尼埃病相鉴别。我们展示了一组病例,突出了常见的前庭蜗症状,并对文献进行综述,以提高耳鼻喉科医生的认识,并强调这种疾病的诊断和管理途径。

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