摘要
1病例报告患者,女,38岁,反复发作眩晕、耳聋、耳鸣2年。患者2016年6月发作眩晕2次,持续数秒,继而头晕不稳感持续1 d,后好转。2017年6月开始反复发作眩晕,每次持续20 min^1 h,伴有耳聋、耳鸣,开始时发作后经治疗听力可改善,出现走路偏斜,后发作频繁,耳聋渐重,耳鸣为高频持续性和搏动性混杂,出现右耳痛及右侧头痛。在当地医院行脑部CT、MRI检查未发现异常,诊断为"梅尼埃病",口服倍他司汀、氟桂利嗪疗效不佳。
A 38-year-old woman had suffered from recurrent vertigo,deafness and tinnitus for 2 years.After treatment for Meniere’s disease,her symptoms did not improve.The threshold of pure tone audiometry was 68 dBHL SNHL.High resolution CT of the temporal bone showed that a mass is behind the posterior semicircular canal.MRI showed that mixed signals are in the center of the mass and long T1 T2 signal around the mass.The mass was surgically resected.Pathology report showed:endolymphatic sac tumor.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2020年第5期468-469,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
内淋巴囊肿瘤
梅尼埃病
膜迷路积水
endolymphatic sac tumor
Meniere’s disease
endolymphatic hydrops