Appropriateness of magnetic resonance imaging in sudden sensorineural hearing loss.

Appropriateness of magnetic resonance imaging in sudden sensorineural hearing loss.
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磁共振成像在突发感音神经性听力损失中的适用性。

DOI:
10.1016/s0194-59989770317-6
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发表时间:
1997
期刊:
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
影响因子:
--
通讯作者:
Gantz,BJ
Gantz,BJ
中科院分区:
--
文献类型:
--
作者:
Weber,PC;Zbar,RI;Gantz,BJ

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特发性突发性感音神经性耳聋是一种原因不明的神秘疾病。 虽然突发性耳聋的治疗存在争议, 评价一个原因不应该。所有的病人都有完整的病史, 体格检查、听力学检查和抽血以评估全血 计数、一般化学筛查、甲状腺功能检查结果、红细胞沉降 速率和荧光密螺旋体抗体吸光度。磁共振成像, 钆对比剂在评价特发性突发感觉神经性 听力损失,即使对治疗或不治疗有完全反应。 在过去的一年中,我们治疗了16例特发性突发感音神经性听力 我们的方案是静脉注射右旋糖酐/Hypaque或口服高剂量类固醇。十五 在治疗前立即用磁共振成像对患者进行评估, 扫描.另外一名患者在24小时内成功接受了高剂量类固醇治疗。 然后来做了一个评估在这16例患者中,3例(18.75%) 在磁共振成像扫描中发现有明显的病理状况。的 在外部成功治疗的患者被发现有5 mm 第二例患者被发现有多个听神经瘤, 硬化病变的水平,上级橄榄,和第三个病人,谁有一个 正常的磁共振成像扫描18个月前,现在发现有一个大的 4-桥小脑角的脑膜瘤我们认为,至关重要的是, 对突发性感音神经性耳聋患者进行评估, 在用钆进行磁共振成像扫描治疗期间, 对比度
Idiopathic sudden sensorineural hearing loss is an enigmatic condition of unknown cause. Although the treatment for sudden sensorineural hearing loss is controversial, the evaluation for a cause should not be. All patients are evaluated with a complete history, physical examination, audiologic examination, and blood draw to evaluate complete blood count, general chemistry screen, thyroid function test results, erythrocyte sedimentation rate, and fluorescent treponemal antibody absorbance. Magnetic resonance imaging with gadolinium contrast is essential in the evaluation of idiopathic sudden sensorineural hearing loss, even if there is a complete response to either treatment or no treatment. During the last year we treated 16 patients for idiopathic sudden sensorineural hearing loss with our protocol of intravenous dextran/Hypaque or oral high-dose steroids. Fifteen patients were evaluated immediately before treatment with a magnetic resonance imaging scan. An additional patient had been treated successfully with high-dose steroids at an outside institution and came in for an evaluation. Of these 16 patients, 3 (18.75%) were found to have significant pathologic conditions on magnetic resonance imaging scan. The patient who had been treated successfully on the outside was noted to have a 5-mm intracanalicular acoustic neuroma, the second patient was found to have a multiple sclerosis lesion at the level of the superior olive, and the third patient, who had had a normal magnetic resonance imaging scan 18 months previously, was now found to have a large 4- to 5-cm meningioma in the cerebellopontine angle. We believe it is essential that all patients with idiopathic sudden sensorineural hearing loss be evaluated at some point during their treatment with a magnetic resonance imaging scan with gadolinium contrast.
DOI: --
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影响因子: --
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M. Biavati;J. D. Gross;W. Wilson;T. Dina
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