左侧后窝脑膜瘤所致双侧听力损失1例。

Akinori Kashio, Mitsuya Suzuki
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引用次数: 5

摘要

我们报告的情况下,39岁的女性左侧脑膜瘤,患有双侧感音神经性听力损失,谁恢复听力后,双耳。术前纯音听图(PTA)显示双侧感音神经性听力损失。多项感音神经性听力损失检查显示左耳耳蜗及后耳蜗听力损失,右耳耳蜗听力损失。术后左侧后窝脑膜瘤所致双侧听力损失逐渐改善。术后一年,除左耳能听到4 kHz和8 kHz频率外,术后听力图已改善到几乎正常水平。我们推测,左耳的听力损失可能是由肿瘤水肿引起的耳蜗神经的间接压迫引起的,而右耳的听力损失可能是由肿瘤的质量效应引起的脑脊液压力的变化引起的。
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Bilateral hearing loss due to a meningioma located in the left posterior fossa: a case report.
We report the case of a 39-year-old woman with a left side meningioma, suffering from bilateral sensorineural hearing loss, who recovered audiometric hearing in both ears after surgery. A preoperative pure tone audiogram (PTA) revealed a bilateral sensorineural hearing loss. Several examinations for sensorineural hearing loss indicated cochlear and retrocochlear hearing loss in the left ear and cochlear hearing loss in the right ear. After the operation, bilateral hearing loss due to a left posterior fossa meningioma gradually improved. One year after surgery, with the exception of hearing at frequencies of 4 and 8 kHz in the left ear, the postoperative audiogram had improved to an almost normal level. We speculate that hearing loss in the left ear may have been induced by the indirect compression of the cochlear nerve caused by the tumor's edema, whereas that in the right ear may have resulted from changes in CSF pressure caused by the mass effects of the tumor.
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