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以双侧突发性耳聋为主要症状的脑梗死:一例报告

Cerebral infarction presenting with bilateral sudden deafness as the primary symptom: a case report.

作者信息

Zhang Jie, Zhou Lin, Liu Tao, Cheng Yuhan, Dou Yanling

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Western Theater Air Force Hospital of PLA, Chengdu, China.

Department of Neurology, Meishan Pengshan District Traditional Chinese Medicine Hospital, Meishan, China.

出版信息

J Int Med Res. 2024 Dec;52(12):3000605241305483. doi: 10.1177/03000605241305483.

Abstract

The current case report presents a rare occurrence of cerebral infarction with bilateral sudden deafness as the primary symptom. The patient was a 59-year-old man with hypertension who tested positive for new coronary antibodies and had a long history of smoking and alcohol consumption. Despite receiving treatment for sudden deafness, the patient's condition rapidly deteriorated and he was diagnosed with basilar artery occlusion and stenosis. The patient died 5 days after mechanical recanalization of the artery. Sudden binaural deafness is a rare clinical condition that may be a prodromal symptom of brainstem infarction. Early diagnosis and prompt treatment are essential for reducing mortality and disability.

摘要

本病例报告展示了以双侧突发性耳聋为主要症状的罕见脑梗死病例。患者为一名59岁男性,患有高血压,新冠抗体检测呈阳性,有长期吸烟和饮酒史。尽管接受了突发性耳聋的治疗,但患者病情迅速恶化,被诊断为基底动脉闭塞和狭窄。患者在动脉机械再通术后5天死亡。突发性双耳耳聋是一种罕见的临床病症,可能是脑干梗死的前驱症状。早期诊断和及时治疗对于降低死亡率和残疾率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a8e/11672386/36facfbd27a4/10.1177_03000605241305483-fig1.jpg

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本文引用的文献

9
Clinical Practice Guideline: Sudden Hearing Loss (Update).临床实践指南:突发性聋(更新)。
Otolaryngol Head Neck Surg. 2019 Aug;161(1_suppl):S1-S45. doi: 10.1177/0194599819859885.

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