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米诺尔综合征:上半规管裂开。病例报告。

Minor's syndrome: Dehiscence of the superior semicircular canal. A case report.

作者信息

Zebbakh Hajar, Sidki Kenza, Laamrani Fatima Zahra, Jroundi Laila, Aoufir Omar El

机构信息

Emergency radiology department, Ibn Sina University Hospital, Rabat, Maroc.

出版信息

Radiol Case Rep. 2024 May 21;19(8):3321-3323. doi: 10.1016/j.radcr.2024.04.075. eCollection 2024 Aug.

DOI:10.1016/j.radcr.2024.04.075
PMID:38860269
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11163144/
Abstract

Superior semicircular canal (SSC) dehiscence syndrome, also known as Minor syndrome, is a rare condition characterized by vestibular and cochlear symptoms linked to a defect in the bony roof of the SSC. The prevalence is estimated at 0.5%, with a male predominance. Dehiscence may result from abnormal bone development, becoming symptomatic due to minimal trauma or pressure changes. Clinical presentation varies based on dehiscence size and location, with dizziness and oscillatory movements triggered by pressure changes or loud sounds being common symptoms. Other manifestations include conductive hearing loss due to the formation of a ``third window'' in the inner ear. Diagnosis typically involves computed tomography, distinguishing SSCDS from otosclerosis. Surgical treatment is reserved for cases of disabling vestibular pathology, often involving sealing the dehiscence through various approaches.

摘要

上半规管(SSC)裂综合征,也称为米诺尔综合征,是一种罕见病症,其特征为与上半规管骨顶缺陷相关的前庭和耳蜗症状。据估计,患病率为0.5%,男性居多。裂可能由骨骼发育异常引起,因轻微创伤或压力变化而出现症状。临床表现因裂的大小和位置而异,压力变化或大声响引发的头晕和摆动性运动是常见症状。其他表现包括内耳形成“第三窗”导致的传导性听力损失。诊断通常涉及计算机断层扫描,以将上半规管裂综合征与耳硬化症区分开来。手术治疗适用于致残性前庭病变的病例,通常采用各种方法封闭裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be74/11163144/00fa80308ee1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be74/11163144/b247474cf7c9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be74/11163144/00fa80308ee1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be74/11163144/b247474cf7c9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be74/11163144/00fa80308ee1/gr2.jpg

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本文引用的文献

1
Computed tomography-based workup of conductive hearing loss with normal middle ear: don't forget superior semicircular canal dehiscence.基于计算机断层扫描对中耳正常的传导性听力损失进行检查:不要忘记上半规管裂。
Int Tinnitus J. 2008;14(1):53-6.
2
Clinical and diagnostic characterization of canal dehiscence syndrome: a great otologic mimicker.外耳道骨壁缺损综合征的临床与诊断特征:一种极易混淆的耳科疾病
Otol Neurotol. 2007 Oct;28(7):920-6.
3
Semicircular canal function before and after surgery for superior canal dehiscence.上半规管裂手术前后的半规管功能
Otol Neurotol. 2007 Apr;28(3):356-64. doi: 10.1097/01.mao.0000253284.40995.d8.
4
Superior semicircular canal dehiscence: oblique reformatted CT images for diagnosis.上半规管裂:用于诊断的斜位重组CT图像
Radiology. 2006 Mar;238(3):938-42. doi: 10.1148/radiol.2382042098. Epub 2006 Jan 19.
5
Clinical manifestations of superior semicircular canal dehiscence.上半规管裂的临床表现。
Laryngoscope. 2005 Oct;115(10):1717-27. doi: 10.1097/01.mlg.0000178324.55729.b7.
6
Operative management of superior semicircular canal dehiscence.
Laryngoscope. 2005 Mar;115(3):501-7. doi: 10.1097/01.mlg.0000157844.48036.e7.
7
Clinical, experimental, and theoretical investigations of the effect of superior semicircular canal dehiscence on hearing mechanisms.上半规管裂对听力机制影响的临床、实验及理论研究。
Otol Neurotol. 2004 May;25(3):323-32. doi: 10.1097/00129492-200405000-00021.
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Superior semicircular canal dehiscence syndrome. Case report.上半规管裂综合征。病例报告。
J Neurosurg. 2004 Jan;100(1):123-4. doi: 10.3171/jns.2004.100.1.0123.
9
Coronal computed tomography prevalence of superior semicircular canal dehiscence.冠状位计算机断层扫描显示上半规管裂的患病率。
Otolaryngol Head Neck Surg. 2003 Nov;129(5):481-9. doi: 10.1016/S0194-59980301391-3.
10
Dehiscence of bone overlying the superior semicircular canal as a cause of an air-bone gap on audiometry: a case study.上半规管上方骨质裂开作为听力测定中气骨导间距的一个原因:一项病例研究。
Am J Audiol. 2003 Jun;12(1):11-6. doi: 10.1044/1059-0889(2003/004).