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來源資料
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題 名 | 兩側同時突發性聽力喪失--病例報告=Bilateral Simultaneous Sudden Hearing Loss--Case Report |
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作 者 | 吳毓祥; 楊怡和; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 32:6 1997.12[民86.12] |
頁 次 | 頁95-100 |
分類號 | 416.865 |
關鍵詞 | 兩側同時突發性聽力喪失; 突發性耳聾; Bilateral simultaneous sudden hearing loss; Sudden deafness; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:兩側同時突發性聽力喪失在臨床上並不常見,約佔所有突發性耳聾的 0.44 %到 2.78 %之間。此症發生的原因,有別於一般之單側突發性聽力喪失,通常多因全身性 疾患侵犯兩耳所致。 本報告提出過去 6 年來的臨床經驗,加以討論。方法:自 1991 年至 1996 年間,本科共 8 例診斷為兩側同時突發性聽力喪失。針對其神經學檢查、聽力學檢查 、及眼振電圖檢查,加以分析。 結果:8 例的兩側同時突發性聽力喪失,有 2 例屬突發性 耳聾,其神經學及眼振電圖檢查均正常,聽力圖呈兩側左右對稱形式。 其餘 6 例則均有致 病原因, 計腦腫瘤 1 例, 腦中風 1 例, 腦膜炎 1 例, 耳中毒症 2 例, 及 Vogt-Koyanagi-Harada ( VKH )症候群 1 例。 其神經學檢查多有異常,如顏面神經麻痺 等。聽力圖除 1 例 VKH 症候群外,餘皆為非對稱性聽力喪失。眼振電圖檢查亦出現許多異 常的中樞性徵象。結論:面對兩側同時突發性聽力喪失的病人,醫師應根據其臨床症狀、聽 力圖型、及眼振電圖所見,做系統性之探查,積極找尋是否有其他全身性致病因,予以鑑別 診斷,俾對症治療。 |
英文摘要 | Background: Bilateral simultaneous sudden hearing loss is very rare, ranging from 0.44% to 2.78% in patients with sudden hearing loss. Materials and methods: There were 8 patients with bilateral simultaneous sudden hearing loss from 1991 to 1996. All received a battery of tests, including physical examinations, neurological examinations, laboratory tests, audiometry and electronysta-gmography. Results: Two of the eight patients were diagnosed with idiopathic bilateral simultaneous sudden deafness, and the audiograms revealed symmetrical patterns. The other six patients had underlying diseases, specifically brain tumor 1, stroke 1, meningitis 1, ototoxicity 2 and VKH syndrome 1. In the case of the patient with VKH syndrome, the audiogram also revealed a symmetrical pattern; whereas asymmetrical audiograms were encountered in the other 5 patients. Conclusion: With the use of neurological examinations, audiograms and electronystagmograms, one can make an effective differential diagnosis in patients with bilateral simultaneous sudden hearing loss. |
本系統中英文摘要資訊取自各篇刊載內容。