- 期刊
雙側突發性耳聾－Vogt-Koyanagi－Harada症候群－病例報告
Bilateral Sudden Hearing Loss in Vogt-Koyanagi-Harada Syndrome - Case Report
摘要
Vogt-Koyanagi-Harada (V-K-H)症候群一種是主要侵犯眼精引起顆粒性葡萄膜炎(granulomatous uveitis)，並且可能伴隨有神經學方面症狀(頭痛，假性腦膜炎(meningismus)等)，皮膚方面症狀(局部禿髮、白斑等)及內耳方面症狀(聽力喪失、耳鳴、眩暈)的一種疾病。一般相信這種疾病是由某對含有黑色素細胞組織產生自體免疫反應所致。本科於1995年11月間經驗一38歲男性因雙側突發聽力障礙，耳鳴為時2週來本科求診。病人同時也因眼精紅腫、疼痛、畏光曾求助於眼科並診斷為虹彩炎及葡萄膜炎。聽力學檢查為雙側輕度至中度感音性聽力障礙。會診眼科後確定診斷為Vogt-Koyanagi-Harada症候群，並且給予病人類固醇prednisolone治療。追蹤治療1個月後聽力幾乎恢復至正常，耳鳴完全消失。(中耳醫誌 1997;32:496-500)
並列摘要
The Vogt-Koyanagi-Harada Syndrome (VKH) is a bilateral granulomatous uveitis associated with poliosis, vitiligo, alopecia and central nervous system (headache, meningismus) and auditory signs. This inflammatory syndrome is probably the result of autoimmune mechanism that appears directed against melanocytes. We encountered a case of VKH syndrome in November 1995. This patient initially presented this syndrome with bilateral sudden deafness and bilateral iritis associated with headache, nausea, and low grade fever. The recovery of hearing level and relief of tinnitus were obtained after systemic steroid therapy for one month.
延伸閱讀
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- 陳建志、陳登郎、陳瑞昌、楊菁華（2011）。以單側突發性耳聾為前驅症狀之典型預兆非偏頭痛性頭痛。北市醫學雜誌，8(1)，61-70。https://doi.org/10.6200/TCMJ.2011.8.1.07
- Yang, C. K., Cheng, Y. K., Lin, C. D., Ho, M. W., & Tsai, M. H. (2005). 以雙側突發性耳聾為初始表現的Streptococcus suis Capsular Type 2腦膜炎. Mid-Taiwan Journal of Medicine, 10(3), 155-158. https://doi.org/10.6558/MTJM.2005.10(3).7
- 蕭博仁、賴仁淙、黃致仰（2000）。雙側大腦顳葉病變引發之皮質性聽障－病例報告。中華民國耳鼻喉科醫學雜誌，35(5)，349-353。https://doi.org/10.6286/2000.35.5.349
- Jui-Cheng Chen、Tzung-Chang Tsai、Chin-San Liu、Chung-Ta Lu（2007）。Acute Hearing Loss in a Patient with Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis and Stroke-like Episodes (MELAS)。Acta Neurologica Taiwanica，16(3)，168-172。https://doi.org/10.29819/ANT.200709.0008