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["眩晕”症状的罕见鉴别诊断]

[Rare differential diagnosis in "vertigo" symptoms].

作者信息

Gosepath K, Maurer J, Mann W

机构信息

Univ.-HNO-Klinik Mainz.

出版信息

Laryngorhinootologie. 1994 Jun;73(6):326-30. doi: 10.1055/s-2007-997141.

Abstract

The diagnosis of vestibulocochlear nerve and statoacoustic organ lesions is based on the symptoms vertigo, hearing loss and tinnitus. The most common diseases are vestibular neuronitis, Ménière's disease, benign positional vertigo and sudden hearing loss. 6 patients are presented, complaining of at least one of the symptoms vertigo, hearing loss or tinnitus. They were suspected of suffering from a peripheral audiovestibular disease when admitted to the clinic, but all of them revealed other pathologies. A careful history and step-wise otoneurologic diagnostics including clinical examination, otoneurologic testing, audiologic tests, electronystagmography, acoustic evoked potentials and imaging techniques finally resulted in the correct diagnosis.

摘要

前庭蜗神经和位听器官病变的诊断基于眩晕、听力损失和耳鸣等症状。最常见的疾病是前庭神经炎、梅尼埃病、良性阵发性位置性眩晕和突发性听力损失。本文介绍了6例患者,他们均主诉有眩晕、听力损失或耳鸣等症状中的至少一种。入院时怀疑他们患有外周性听觉前庭疾病,但最终发现他们均患有其他疾病。通过详细的病史采集和逐步的耳神经学诊断,包括临床检查、耳神经学测试、听力学测试、眼震电图、听觉诱发电位和影像学技术,最终得出了正确的诊断。

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