听力学神经外科医生

Sarah Kingsbury, Jamie M. Bogle, P. Weisskopf, N. Deep
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引用次数: 0

摘要

神经外科医生治疗的许多疾病都与听力学症状有关。单侧听力丧失、耳鸣、阈上言语理解能力差和头晕是耳蜗后病变的标志。了解空气和骨传导阈值之间的差异以及语言辨别的重要性有助于区分听力损失的类型及其神经学重要性。声反射、耳声发射和听觉脑干反应测试是确定听觉结构功能的客观测量方法。准确解释这些结果可以帮助神经外科医生做出鉴别诊断和确定手术入路。神经外科医生、耳鼻喉科医生和听力学家之间的合作确保了对异常听觉症状的正确评估。
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Audiology for the Neurosurgeon
Many conditions that neurosurgeons manage are associated with audiologic symptoms. Unilateral hearing loss and tinnitus, poor suprathreshold speech understanding, and dizziness are hallmarks of retrocochlear lesions. Understanding the difference between air and bone conduction thresholds and the importance of speech discrimination helps differentiate types of hearing loss and their neurological importance. Acoustic reflex, otoacoustic emissions, and auditory brainstem response testing are objective measures used to determine function of the auditory structures. Accurate interpretation of these results can aid neurosurgeons in making differential diagnoses and determining surgical approaches. Cooperation among neurosurgeons, otolaryngologists, and audiologists ensures abnormal auditory symptoms are assessed correctly.
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