- 期刊
雙側大腦顳葉病變引發之皮質性聽障－病例報告
Cortical Hearing Impairment Caused by Bilateral Temporal Lobe Lesions - Case Report
並列摘要
Cortical hearing impairment is a rare condition affecting the bilateral temporal and It is mostly associated with cardiovascular disease. We report. a 35-year-old woman with a history of arrhythmia. Her chief complaint was sudden bilateral deafness for 3 weeks. Initial pure tone audiomertry showed bilateral severe sensorineural hearing loss; speech discrimination could not be tested. The acoustic reflex and auditory brainstem response were normal. Her pure tone test dramatically improved to nearmal normal a few days after admission, but she began to complain of loss of comprehension of spoken words. Brain MIR showed encephalomalacia of the right temporal lobe and abnormal enhancement of the left temporparietal cortex. Electroencephalography (EEG) revealed an abnormal slow wave. All the above were compatible with cortical hearing impairment with cortical deafness progressing to word deafness. Owing to sick sinus syndrome, a pacemaker was implanted. She also received speech rehabilitation and progressively regained the ability to communicate.
延伸閱讀
- 林太郎、詹光漢、許權振（1999）。自體免疫性兩側突發性聽力障礙－病例報告。中華民國耳鼻喉科醫學雜誌，34(6)，501-505。https://doi.org/10.6286/1999.34.6.501
- 張文哲、楊怡和、曾漢民（1997）。兩側聽神經纖維瘤－二例報告。中華民國耳鼻喉科醫學會雜誌，32(4)，418-421。https://doi.org/10.6286/1997.32.4.418
- 許權振、林凱南（1998）。小腦橋腦角腫瘤的聽力學表現。中華民國耳鼻喉科醫學會雜誌，33(3)，224-230。https://doi.org/10.6286/1998.33.3.224
- 魏培釗、范君揚、陳穆寬、李國維（2011）。以對側突發性聽障爲前驅症狀的後下小腦動脈梗塞之眩暈症。台灣耳鼻喉頭頸外科雜誌，46(1)，56-60。https://doi.org/10.6286/2011.46.1.56
- 陳威廷、李瑞文、蘇峯民、陳榮峯（2013）。Clinical Analysis of Idiopathic Sudden Sensorineural Hearing Loss。台灣耳鼻喉頭頸外科雜誌，48(2)，116-123。https://doi.org/10.6286/2013.48.2.116