일측성 청력 감소를 동반한 반복된 어지럼 환자의 청력도에 따른 임상양상의 차이

박영민; 김동현; 김봉직; 이정구; 정재윤

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자료유형: 학술저널

저자정보: 박영민 김동현 김봉직 이정구 정재윤

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제58권 제3호

발행연도: 2015.1

수록면: 173 - 176 (4page)

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Background and Objectives Low frequency hearing loss is known to be the most common hearing loss form in Meniere’s disease (MD) and episodic dizziness with low frequency sensorineural hearing loss is considered a very crucial symptom for the diagnosis of MD. However, flat or high frequency hearing loss is also commonly encountered in the Ear, Nose and Throat clinic. The aim of this study is to investigate the differences in clinical manifestation between episodic dizzy patients with low frequency hearing loss (LFHL) group and non-low frequency hearing loss (non-LFHL) group. Subjects and Method We reviewed medical records of 78 patients (36 of LFHL group and 42 of non-LFHL group) who had episodic dizziness with unilateral hearing loss and analyzed clinical characteristics according to hearing loss pattern. Results The clinical features of LFHL include a predominance of female sufferers, high incidence of tinnitus and short duration of dizziness. There was no significant difference in frequency, nature of dizziness, and results of vestibular function test. Although the proportion of patients diagnosed with definite MD was higher in LFHL group at initial and final diagnosis, there were no statistically significant differences between two groups. Conclusion Therefore, when episodic dizziness is accompanied with unilateral hearing loss, not only low frequency but flat or high frequency hearing loss could be considered as a critical sign for possible progression to Meniere’s disease and careful observation should be taken.

#Episodic dizziness #Low-frequency hearing loss #Meniere's disease #Non-low frequency hearing

참고문헌 (10)

참고문헌 신청

Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere’s disease / 1995 / American Academy of Otolaryngology-Head and Neck Fo

Eggermont JJ / 1985 / Meniere’s disease: a long-term follow-up study of hearing loss / Ann Otol Rhinol Laryngol 94 (1 Pt 1) : 1 ~ 9

Imamura S / 1997 / Clinical observations on acute low-tone sensorineural hearing loss. Survey and analysis of 137 patients / Ann Otol Rhinol Laryngol 106 (9) : 746 ~ 750

Merchant SN / 2005 / Pathophysiology of Meniere’s syndrome: are symptoms caused by endolymphatic hydrops? / Otol Neurotol 26 (1) : 74 ~ 81

Rauch SD / 1989 / Meniere’s syndrome and endolymphatic hydrops. Double-blind temporal bone study / Ann Otol Rhinol Laryngol 98 (11) : 873 ~ 883

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