以突聋为首发症状的脑梗死患者临床特点

发布时间：2018-03-12 19:20

本文选题：突发性耳聋　切入点：脑梗死　出处：《国际神经病学神经外科学杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨以突聋为首发症状的脑梗死患者的临床特点,提高对该类情况的认识,尽早做出正确诊断。方法报道我院2014年收治的2例以突聋为首发症状的脑梗死病例,均完善头颅MRI、HR-MRI、DSA、颈动脉超声、TCD检查,结合文献复习,总结临床特点。结果该2例患者首发症状表现为突聋合并头晕,DSA均发现基底动脉近段狭窄。病例1头颅MRI示双侧桥脑及左侧小脑新发梗死灶,予急诊动脉溶栓治疗,后续双联抗血小板聚集及他汀治疗,听力好转。病例2头颅MRI示右侧桥脑新发梗死灶,予双联抗血小板聚集及他汀治疗,遗留听力下降。结论以突聋为首发症状的脑梗死并不罕见,突聋患者应尽快完善脑血管检查,突聋患者具有以下临床特点时需要高度警惕脑梗死:伴随头晕症状、合并多种动脉粥样硬化危险因素、基底动脉狭窄。
[Abstract]:Objective to investigate the clinical characteristics of patients with cerebral infarction with sudden deafness as the first symptom, to improve the understanding of this condition and to make a correct diagnosis as soon as possible. Methods two cases of cerebral infarction with sudden deafness as the first symptom were reported in our hospital on 2014. HR-MRIV DSAs of head MRI, TCD examination of carotid artery ultrasound, and review of literature, Results the first symptom of the two patients was sudden deafness combined with dizziness and stenosis of proximal basilar artery. In case 1, cranial MRI showed bilateral pontine and left cerebellar infarction, and was treated with emergency arterial thrombolytic therapy. In case 2, MRI showed a new infarct in the right pontine, which was treated with dual antiplatelet aggregation and statins. Conclusion Cerebral infarction with sudden deafness as the first symptom is not rare. Cerebral vascular examination should be improved as soon as possible in patients with sudden deafness. Patients with sudden deafness should be on high alert for cerebral infarction when they have the following clinical characteristics: accompanied by dizziness symptoms. Associated with multiple risk factors for atherosclerosis, basilar artery stenosis.
【作者单位】：中日友好医院神经内科;
【分类号】：R743.3

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