中耳障害と顔面神経麻痺を伴った特発性鼓室内出血の1例

  • 平井 良治
    日本大学医学部附属板橋病院耳鼻咽喉科学教室
  • 野村 泰之
    日本大学医学部附属板橋病院耳鼻咽喉科学教室
  • 鴫原 俊太郎
    日本大学医学部附属板橋病院耳鼻咽喉科学教室
  • 野口 雄五
    日本大学医学部附属板橋病院耳鼻咽喉科学教室
  • 高根 智之
    日本大学医学部附属板橋病院耳鼻咽喉科学教室
  • 池田 稔
    日本大学医学部附属板橋病院耳鼻咽喉科学教室

書誌事項

タイトル別名
  • Idiopathic hemotympanum with facial paralysis and inner ear damages: a case report

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Idiopathic hemotympanum with facial paralysis and inner ear damages is quite rare. A 45-year-old man presented with idiopathic hemotympanum with moderate hearing loss, equilibrium disorder and facial paralysis. CT findings revealed no fracture in his temporal bone. High-intensity areas on unenhaced T1 weighted MR images were observed at the middle ear, mastoid and a part of the vestibule. Blood coagulation studies showed normal prothrombin time and activated partial thromboplastin time. Any significant increase in the anti-Varicell-zoster virus IgG titer and anti-Herpes simplex virus IgG titer was not observed during first two weeks. After conservative treatments' of administration of corticosteroids and valaciclovir, his hearing and facial paralysis were recovered.

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