특발성 돌발성 난청으로 오인된 청신경 종양 1례
A Case Report of Vestibular Schwannoma Misdiagnosed as Idiopathic Sudden Sensorineural Hearing Loss
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초록
Objective : The purpose of this study is to discriminate the vestibular schwannoma misdiagnosed as Idiopathic Sudden Sensorineural Hearing Loss. Methods : A 46-year-old female patient who was suffering left sudden sensorineural hearing loss(SSNHL), visited after diagnosed as Idiopathic SSNHL by previous hospital. For diagnosing the vestibular schwannoma, we conducted the Puretone audiometry, auditory brainstem response threshold test and magnetic resonance imaging(MRI) for temporal bone with enhancement. Result : Auditory Brainstem Response threshold test was abnormal and in enhanced MRI, the vestibular schwannoma in left side was detected. The patient was discharged from the hospital for tertiary hospital care. Conclusions : When the patient with SSNHL visits a hospital even if after diagnosed as Idiopathic SSNHL by previous hospital, a doctor should keep in mind the possibility of vestibular schwannoma.
Abstract
Objective : The purpose of this study is to discriminate the vestibular schwannoma misdiagnosed as Idiopathic Sudden Sensorineural Hearing Loss. Methods : A 46-year-old female patient who was suffering left sudden sensorineural hearing loss(SSNHL), visited after diagnosed as Idiopathic SSNHL by previous hospital. For diagnosing the vestibular schwannoma, we conducted the Puretone audiometry, auditory brainstem response threshold test and magnetic resonance imaging(MRI) for temporal bone with enhancement. Result : Auditory Brainstem Response threshold test was abnormal and in enhanced MRI, the vestibular schwannoma in left side was detected. The patient was discharged from the hospital for tertiary hospital care. Conclusions : When the patient with SSNHL visits a hospital even if after diagnosed as Idiopathic SSNHL by previous hospital, a doctor should keep in mind the possibility of vestibular schwannoma.
참고문헌 (20)
- Reznitsky M, "Epidemiology of vestibular schwannomasprospective 40-year data from an unselected national cohort", Clin Epidemiol, 11, pp.981~986 (2019)
- 이정엽, "청신경종양 환자에서 종양의 크기에 따른 임상양상, 청력 및 전정기능검사의 비교", 대한이비인후-두경부외과학회지, 59(5), pp.361~365 (2016), 대한이비인후과학회[DOI]
- Carlson ML, "Vestibular Schwannomas", N Engl J Med, 384, pp.1335~1348 (2021)
- 고석화, "심도 돌발성 난청 환자의 예후 인자", 임상이비인후과, 30(1), pp.42~48 (2019), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
- Chandrasekhar SS, "Clinical practice guideline : sudden hearing loss(update)", Otolaryngol Head Neck Surg, 72(12), pp.34~ (2019)
- Waterval J, "EAONO position statement on vestibular schwannoma:imaging assessment: what are the indications for performing a screening MRI scan for a potential vestibular schwannoma?", J Int Adv Otol, 14, pp.95~99 (2018)
- Marinelli JP, "Prevalence of sporadic vestibular schwannoma : reconciling temporal bone, radiologic, and population-based studies", Otol Neurotol, 40, pp.384~390 (2019)
- Marinelli JP, "Incidence of vestibular schwannoma over the past half-century : a population-based study of Olmsted County, Minnesota", Otolaryngol Head Neck Surg, 159, pp.717~723 (2018)
- Lee JD, "Vestibular schwannoma in patients with sudden sensorineural hearing loss", Skull Base, 21(2), pp.75~78 (2011)
- Sweeney AD, "Congress of neurological surgeons systematic review and evidence-based guidelines on otologic and audiologic screening for patients with vestibular schwannomas", Neurosurgery, 82(2), pp.29~31 (2018)
- Lee JD, "Vestibular Schwannoma in Patients with Sudden Sensorineural Hearing Loss", Skull Base, 21(2), pp.75~78 (2011)
- Choung YH, "Clinical Characteristics of Vestibular Schwannoma Presenting as Sudden Hearing Loss", J Clinical Otolaryngol, 16, pp.54~59 (2005)
- 백무진, "이명의 청각학적 진단", 임상이비인후과, 22(1), pp.44~49 (2011), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
- Ruckenstein MJ, "A prospective study of ABR and MRI in the screening for vestibular schwannomas", Am J Otol, 17(2), pp.317~320 (1996)
- Koors PD, "ABR in the diagnosis of vestibular schwannomas : A meta-analysis", Am Jl of Otolaryngol, 34(3), pp.195~204 (2013)
- Heo J, "Dongeuibogam", pp.657~660 (2007), Bubinmunhwasa
- 고은상, "스트레스에의한 여성 鬱證 환자의 加味逍遙散 치험 3례", 대한한방내과학회지, 25(3), pp.615~624 (2004), 대한한방내과학회
- 손재웅, "부신피질호르몬제제 치료를 받지 않은 돌발성 난청 환자한방치험 2례", 한방안이비인후피부과학회지, 29(1), pp.157~167 (2016), 대한한방안이비인후피부과학회
- Steenerson RL, "Treatment of tinnitus with electrical stimulation", Otolaryngol Head Neck Surg, 121(5), pp.511~513 (1999)
- 설현, "肩井穴 黃連解毒湯藥鍼이 심박변이율(HRV)에 미치는 영향", Journal of Acupuncture Research, 21(6), pp.37~50 (2004), 대한침구의학회