Appropriateness of magnetic resonance imaging in sudden sensorineural hearing loss.
Appropriateness of magnetic resonance imaging in sudden sensorineural hearing loss.
复制标题
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
复制
发表时间:
1997
期刊:
影响因子:
--
通讯作者:
Gantz,BJ
中科院分区:
文献类型:
--
作者:
Weber,PC;Zbar,RI;Gantz,BJ
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.
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DOI:
--
发表时间:
1994-03
期刊:
The American journal of otology
影响因子:
--
作者:
M. Biavati;J. D. Gross;W. Wilson;T. Dina
通讯作者:
M. Biavati;J. D. Gross;W. Wilson;T. Dina
DOI:
10.1177/014556130108000911
发表时间:
2001
期刊:
ENT Journal
影响因子:
--
作者:
B. Fattori;S. Berrettini;A. Casani;A. Nacci;A. De Vito;G. De Iaco
通讯作者:
G. De Iaco
影响因子:
2.6
作者:
Honglei Zhu;Y. Ou;Jia Fu;Ya Zhang;H. Xiong;Yao
通讯作者:
Yao
影响因子:
3.3
作者:
Liao, Wen-Huei;Wu, Hsiu-Mei;Hung, Sheng-Che
通讯作者:
Hung, Sheng-Che
影响因子:
3.5
作者:
Lee, J. L.;Yoon, R. G.;Park, H. J.
通讯作者:
Park, H. J.