为一名植入三叉神经刺激器的患者进行人工耳蜗植入术--在同一患者身上使用两种不同电刺激器的临床考虑因素和我们的结果

Daniel Polterauer, M. Neuling, Sophia Stoecklein, Joachim Mueller
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引用次数: 0

摘要

在一名患者身上植入两个不同颅神经的电刺激器是罕见的。我们报告了一例已经植入三叉神经刺激器的 47 岁患者的病例。此外,这名患者还患有听力问题。患者的一只耳朵失聪。在另一侧,患者佩戴骨传导助听器来改善听力。在这种复杂的情况下,我们决定检查在失聪一侧植入人工耳蜗的可能性。最后,我们成功地对聋耳的听觉通路进行了电刺激,改善了患者的听力测试结果。此外,本病例报告还展示了三叉神经刺激器如何通过 EABR(诱发听觉脑干反应)和 EALR(诱发听觉晚期反应)干扰听觉脑干和皮层听觉诱发电位测量的电刺激。
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Cochlear Implantation in a Patient with Implanted Trigeminus Stimulator—Clinical Considerations for Using Two Different Electrical Stimulators in the Same Patient and Our Results
Implantation of two electrical stimulators of different cranial nerves in one patient is rare. We report the case of a forty-seven-year-old patient already implanted with a trigeminus nerve stimulator. In addition, this patient suffered from hearing problems. In one ear, the patient was deaf. On the other side, the patient wore a bone conduction hearing aid to improve hearing. In this complex situation, we decided to check the possibility of cochlear implantation on the deaf side. Finally, we managed to provide electrical stimulation of the auditory pathway of the deaf ear to improve the patient’s hearing tests. In addition, this case report shows how the trigeminus stimulator interferes with the electrical stimulation in auditory evoked potentials measurement of the auditory brainstem and cortex via EABR (evoked auditory brainstem response) resp. EALR (evoked auditory late response).
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