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題名 | Bilateral Rapidly Progressive Hearing Loss Followed by Loss of Vestibular Function--Case Report=兩側快速進行性聽力喪失伴隨前庭功能喪失--病例報告 |
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作者 | 謝敦理; 楊怡和; Hsieh, Duen-lii; Young, Yi-ho; |
期刊 | 慈濟醫學 |
出版日期 | 20060400 |
卷期 | 18:2 民95.04 |
頁次 | 頁141-144+165 |
分類號 | 416.865 |
語文 | eng |
關鍵詞 | 自體免疫感音性聽力喪失; 原因不明兩側感音性聽力喪失; 快速進行性聽力喪失; 突發性耳聾; Autoimmune sensorineural hearing loss; Idiopathic bilateral sensorineural hearing loss; Rapid progressive hearing loss; Sudden deafness; |
中文摘要 | 快速進行性感音性聽力喪失是一種特殊的突發性耳聾,其特徵為在數小時到數月之間兩側進行性聽力衰退,機轉則以為與自體免疫有關,聽器和平衡器受影響。最近我們經驗一名33歲快進行性感音性聽力喪失的患者,一系列的聽覺及平衡功能檢查,包括:耳聲傳射、聽覺腦幹反應、溫差測驗及前庭誘發肌性電位檢查,結果發現以耳聲傳射消失為初始表現,其次為聽力全聾伴隨聽覺腦幹反應消失,最後則為前庭誘發肌性電位消失及溫差測驗無反應,顯示聽器較平衡器易受破壞。因此,本病例呈現內耳退化的順序,即聽覺功能喪失在前,平衡功能喪失在後,就如同內耳的老化順序一般。 |
英文摘要 | Rapidly progressive sensorineural hearing loss is a specific type of sudden deafness characterized by a progressive stepwise process over a period of few hours to months with the mechanism attributable to autoimmune reactivity. The hearing organs are always involved and usually the vestibular organs as well. Recently, we have encountered a 33-year-old woman with rapidly progressive sensorineural hearing loss bilaterally. A battery of audiovestibular function tests e.g. audiometry, distortion product otoacoustic emission (DPOAE), auditory brainstem response (ABR), caloric test, and vestibular evoked myogenic potential (VEMP) test were conducted throughout the course. The sequence of audiovestibular dysfunction was absent DPOAE initially, followed by total deafness and absent ABR, and finally absent VEMPs and caloric areflexia, indicating that the cochlea is vulnerable earlier than the vestibule. Hence, this case demonstrates the sequence of degeneration in the inner ear, that is, rapid progressive hearing loss followed by vestibular loss, similar to that seen in the aging process (degeneration) in the inner ear. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。