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首页> 美国卫生研究院文献>Journal of Audiology Otology >A Case of Medullary Infarction Presented Initial Symptoms Similar to Meniere’s Disease
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A Case of Medullary Infarction Presented Initial Symptoms Similar to Meniere’s Disease

机译：一例髓样梗塞表现出类似于美尼尔氏病的初始症状

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摘要

Fluctuating hearing loss and vertigo are the typical presentations of Meniere’s disease. However, it is unusual that fluctuating hearing loss and vertigo are caused by vertebral artery occlusion or cerebral infarction. Here, we described the case of a 54-year-old male patient with hypertension and diabetes mellitus who presented with fluctuating hearing loss in his left ear and severe whirling-type dizziness without associated neurological signs or symptoms. Temporal magnetic resonance imaging (MRI) was normal. He was diagnosed with a possible Meniere’s disease and started conservative treatment. Eight years later, the patient developed dysarthria and left-side weakness. Brain MRI revealed right anterior medullary infarction, and cerebral angiography showed occlusion of the right vertebral artery. In this case, we attempted to review the initial imaging study and reported the characteristics of the case.
机译：起伏的听力损失和眩晕是美尼尔病的典型表现。但是，异常的听力损失和眩晕是由椎动脉闭塞或脑梗塞引起的。在这里，我们描述了一个患有高血压和糖尿病的54岁男性患者的病例，该患者的左耳听力波动且出现严重的旋转型头晕，没有相关的神经系统症状或体征。时间磁共振成像（MRI）正常。他被诊断出可能患有美尼尔氏病，并开始接受保守治疗。八年后，患者出现构音障碍和左侧无力。脑MRI显示右前髓质梗塞，脑血管造影显示右椎动脉闭塞。在这种情况下，我们试图回顾最初的影像学研究并报告病例的特征。

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