一側性進行性感音難聴を呈した特発性肥厚性脳硬膜炎の１症例

• 藤崎 俊之

  新潟大学大学院医歯学総合研究科耳鼻咽喉科

• 和田 匡史

  新潟大学大学院医歯学総合研究科耳鼻咽喉科

• 壁谷 雅之

  新潟大学大学院医歯学総合研究科耳鼻咽喉科

• 佐藤 斎

  新潟大学大学院医歯学総合研究科耳鼻咽喉科

• 高橋 姿

  新潟大学大学院医歯学総合研究科耳鼻咽喉科

書誌事項

タイトル別名

• Idiopathic Hypertrophic Pachymeningitis with Unilateral Progressive Sensorineural Hearing Loss. A Case Report.

抄録

A 58-year-old woman with idiopathic hypertrophic cranial pachymeningitis presented with right progressive sensorineural hearing loss and tinnitus. Transient mild dysphagia and several attacks of rotatory vertigo were also observed. Gadolinium-enhanced MRI revealed diffuse linear enhancement of posterior f ossa dura. Cerebrospinal fluid analysis showed mild elevation of monocytes. Dural thickening was normalized after corticosteroid administration on MRI and tinnitus was improved but hearing loss was not improve. No recurrence of the disease was observed after tapering of corticosteroid. ABR at early stage of the disease showed elongation of I-III inter-wave latency, that suggested the cochlear nerve encasement by hypertrophic dura. Additionally, the positive SISI test and type II of Bekesy audiometry suggested cochlear impairment caused by vascular insufficiency. Down beat positional nystagmus suggested some damage in the posterior fossa.

収録刊行物

• ＡＵＤＩＯＬＯＧＹ　ＪＡＰＡＮ

  ＡＵＤＩＯＬＯＧＹ　ＪＡＰＡＮ 45 (4), 306-311, 2002

  一般社団法人 日本聴覚医学会

キーワード

• 特発性肥厚性脳硬膜炎
• 感音難聴
• めまい

詳細情報

• CRID: 1390282679814552832
• NII論文ID: 130003713227
• NII論文ID: 10011566117
• NII書誌ID: AN00000347
• DOI: 10.4295/audiology.45.306
• ISSN: 18837301
• ISSN: 03038106
• Web Site: https://search.jamas.or.jp/link/ui/2003083835
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可