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Clinical characteristics of cerebral hemorrhage with bilateral sudden deafness as the first symptom

以双侧突发性耳聋为首发症状的脑出血的临床特点

  • 影响因子:1.76
  • DOI:10.1007/s10072-020-04515-1
  • 作者列表:"Deng, Yan","Shi, Jin","Zhang, Ming","Qi, Xueliang
  • 发表时间:2020-06-16
Abstract

Objective To summarize and analyze the clinical data of 12 Chinese patients of cerebral hemorrhage with bilateral sudden deafness as the first symptom and to explore the relationship between cerebral hemorrhage and bilateral sudden deafness. Methods Retrospective analysis of clinical data of patients, including age, clinical manifestations, location of cerebral hemorrhage, hearing loss, and recovery. Results The average age of onset in 12 patients was 53.92 years, 9 had a history of hypertension, 7 had a history of stroke, and 6 had typical stroke symptoms. There were 7 cases of basal ganglia hemorrhage; 2 cases of cerebellum hemorrhage; and 1 case of pontine hemorrhage, temporal lobe hemorrhage, and thalamus infarction. The auditory brainstem evoked potential test results of 3 patients were normal, and 5 of 6 patients who completed pure tone audiometry had hearing impairment. Five out of 9 patients had basically or completely recovered hearing. Conclusion The results showed that patients were mostly middle-aged and elderly with no typical stroke symptoms, and a history of stroke and hypertension increased the risk of hearing loss. The cause of hearing loss in patients with cerebral hemorrhage may be related to the damage of the hearing conduction pathway or (and) the lack of blood supply to the central auditory nervous system. Detecting hearing impairment in time and actively intervening can help most patients to improve their hearing significantly. The degree of hearing damage and recovery is related to the bleeding site, the amount of bleeding, and the timely treatment.

摘要

目的总结分析 12 例以双侧突发性耳聋为首发症状的中国脑出血患者的临床资料,探讨脑出血与双侧突发性耳聋的关系。方法回顾性分析患者的临床资料,包括年龄、临床表现、脑出血部位、听力损失及恢复情况。结果 12 例患者平均发病年龄 53.92 岁,9 例有高血压病史,7 例有脑卒中病史,6 例有典型脑卒中症状。基底节区出血 7 例,小脑出血 2 例,脑桥出血、颞叶出血、丘脑梗死各 1 例。3 例患者听性脑干诱发电位检测结果正常,6 例完成纯音测听的患者中有 5 例听力受损。9 例患者中有 5 例听力基本或完全恢复。结论研究结果显示,患者多为中老年,无典型脑卒中症状,脑卒中和高血压病史增加了听力损失的风险。脑出血患者听力损失的原因可能与听力传导通路受损或 (和) 中枢听觉神经系统供血不足有关。及时发现听力障碍,积极干预,可帮助大多数患者听力明显改善。听力损伤和恢复的程度与出血部位、出血量、治疗及时有关。

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影响因子:2.57
发表时间:2020-01-06
DOI:10.1007/s12031-019-01474-x
作者列表:["Cheng, Xiao","Yang, Ying-Lin","Li, Wei-Han","Liu, Man","Zhang, Shan-Shan","Wang, Yue-Hua","Du, Guan-Hua"]

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影响因子:2.75
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DOI:10.1007/s00702-019-02124-7
作者列表:["Wang, Xiaodong","Shi, Cunxian","Pan, Hongxia","Meng, Xiaowen","Ji, Fuhai"]

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