반고리관마비 없이 자발안진을 동반한 돌발성 난청 1예
A Case of Sudden Deafness with Spontaneous Nystagmus in the Absence of Canal Paresis
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Spontaneous nystagmus is a reflection of tonic left-right vestibular asymmetry. It is typically seen after a recent unilateral peripheral vestibular lesion and has fast phases away from the side of the lesion. Sometimes spontaneous nystagmus is seen in the absence of a recent unilateral peripheral lesion, in which case it provides evidence of a vestibular lesion but does not localize it. We experienced a case of 35-year-old man who had sudden sensorineural hearing loss on the left side with acute onset of vertigo and transient spontaneous nystagmus, which had fast phases away from the side of the sudden deafness, without canal paresis on the bithermal caloric test.
Abstract
Spontaneous nystagmus is a reflection of tonic left-right vestibular asymmetry. It is typically seen after a recent unilateral peripheral vestibular lesion and has fast phases away from the side of the lesion. Sometimes spontaneous nystagmus is seen in the absence of a recent unilateral peripheral lesion, in which case it provides evidence of a vestibular lesion but does not localize it. We experienced a case of 35-year-old man who had sudden sensorineural hearing loss on the left side with acute onset of vertigo and transient spontaneous nystagmus, which had fast phases away from the side of the sudden deafness, without canal paresis on the bithermal caloric test.
참고문헌 (14)
- McClure JA, "Vestibular asymmetry. Some theoretical and practical considerations", Arch Otolaryngol, 109(10), pp.682~687 (1983)
- Baloh RW, "Clinical practice. Vestibular neuritis", N Engl J Med, 348(11), pp.1027~1032 (2003)
- Whitaker S, "Idiopathic sudden hearing loss", Am J Otol, 1(3), pp.180~183 (1980)
- Hallberg OE, "Sudden deafness of obscure origin", Laryngoscope, 66(10), pp.1237~1267 (1956)
- Van Dishoeck HA, "Sudden perceptive deafness and viral infection report of the first one hundred patients", Ann Otol Rhinol Laryngol, 66(4), pp.963~980 (1957)
- Bosatra AB, "The idiopathic sudden deafness. A clinical study", Acta Otolaryngol Suppl, 169, pp.1~62 (1961)
- Shaia FT, "Sudden sensori-neural hearing impairment: a report of 1,220 cases", Laryngoscope, 86(3), pp.389~398 (1976)
- Mattox DE, "Natural history of sudden sensorineural hearing loss", Ann Otol Rhinol Laryngol, 86(4 Pt 1), pp.463~480 (1977)
- Wilson WR, "Electronystagmographic findings in idiopathic sudden hearing loss", Am J Otolaryngol, 3(4), pp.279~285 (1982)
- Fisch U, "Management of sudden deafness", Otolaryngol Head Neck Surg, 91(1), pp.3~8 (1983)
- Bojrab DI, "Electronystagmography and rotation test, In Neurotology. 2nd ed", pp.607~620 (2005), Mosby
- Halmagyi GM, "Isolated directional preponderance of caloric nystagmus", I. Clinical significance. Am J Otol, 21(4), pp.559~567 (2000)
- Kim JS, "Inferior vestibular neuritis", J Neurol, 259(8), pp.1553~1560 (2012)
- Takahashi J, "Spontaneous nystagmus in normal subjects", ORL J Otorhinolaryngol Relat Spec, 58(1), pp.42~45 (1996)