Moulonguet H, Gougelot L M
Ann Otolaryngol Chir Cervicofac. 1985;102(6):415-9.
Whilst it is generally accepted that sudden idiopathic sudden deafness is due to vascular spasm (though such a possibility has in no way been demonstrated), it would seem necessary for another explanation to be envisaged quite often: an embolic process. The present series of 58 cases included 23 cases of Barlow's disease, i.e. 39.6%, whilst the incidence of this mitral valve abnormality in the general population is only 5 to 10%. Already accepted as an aetiology for cerebral and retinal vascular accidents, Barlow's disease, revealed only by echocardiography, calls for the replacement of classical vasodilator therapy by treatment involving heparin and antiagregants.
虽然普遍认为特发性突聋是由血管痉挛引起的（尽管这种可能性尚未得到证实），但似乎经常需要设想另一种解释：栓塞过程。本系列58例病例中包括23例巴洛病，即占39.6%，而这种二尖瓣异常在普通人群中的发病率仅为5%至10%。巴洛病已被公认为脑和视网膜血管意外的病因，仅通过超声心动图才能发现，这就需要用涉及肝素和抗血小板药物的治疗来取代传统的血管扩张剂治疗。
