突发性感音神经性聋与缺血性卒中  

Sudden sensorineural hearing loss and ischemic stroke

作　　者：郑鉴容 付婷婷 卢艳君 林雪 詹莹 卢碧华 刘聪[1] 程雅静 胡俊[1] Jianrong Zheng;Tingting Fu;Yanjun Lu;Xue Lin;Ying Zhan;Bihua Lu;Cong Liu;Yajing Cheng;Jun Hu(Department of Neurology,Peking University Shenzhen Hospital,Shenzhen 518036,China;Shantou University Medical College,Shantou 515041,China)

机构地区：[1]北京大学深圳医院神经内科,深圳518036 [2]汕头大学医学院,515041

出　　处：《国际脑血管病杂志》2021年第10期770-775,共6页International Journal of Cerebrovascular Diseases

摘　　要：突发性感音神经性聋(sudden sensorineural hearing loss,SSNHL)是指在72 h内突然发生的原因不明性感音神经性听力损失,至少在3个连续频率上听力下降≥30 dB,是神经科和耳鼻喉科的常见急症之一。早期病因判断以及系统性和针对性治疗,对于延缓SSNHL疾病进展和恢复听力至关重要。近年来的研究显示,SSNHL与缺血性卒中的血管危险因素存在重叠,并且可能预测缺血性卒中的发病风险。SSNHL可作为缺血性卒中,尤其是小脑前下动脉或其分支内听动脉供血区梗死的临床表现甚至是前驱症状之一。虽然这些因素暂不能完全揭示SSNHL与缺血性卒中之间的关系,但足以警示临床医生在接诊SSNHL患者时应当考虑到缺血性卒中的可能。对SSNHL患者尽早进行血管危险因素筛查,有利于规避缺血性卒中的复发风险。Sudden sensorineural hearing loss(SSNHL)refers to the sudden and unexplained sensorineural hearing loss within 72 h and a decrease in hearing of≥30 dB affecting at least 3 consecutive frequencies.It is one of the common emergencies in neurology and otolaryngology.Early etiological evaluation and systematic and targeted treatment are very important for delaying the progression of SSNHL and restoring hearing.Recent studies have shown that SSNHL overlaps with vascular risk factors of ischemic stroke,and may predict the risk of ischemic stroke.SSNHL may be one of the clinical manifestation and even the prodromal symptoms of ischemic stroke,especially the infarction of the blood supply area of the anterior inferior cerebellar artery or its branch internal auditory artery.Although these factors can not fully reveal the relationship between SSNHL and ischemic stroke,they are enough to warn clinicians that they should consider the possibility of ischemic stroke when receiving patients with SSNHL.Screening of vascular risk factors for patients with SSNHL as early as possible is helpful to avoid the risk of recurrence of ischemic stroke.

关 键 词：卒中 脑缺血 听觉丧失 感音神经性 听觉丧失 突发性 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R764.437[医药卫生—临床医学]