中英迷路出血眩晕的罕见病因刘



SECTION1第一部分

A65-year-oldmanpresentedwitha2-weekhistoryofworseningvertigo.Thesensationofvertigowasconstantandexacerbatedbyturninginbed,sitting,andstanding.Exacerbationslasted5–10minutesandwereintenseenoughtocausegaitimpairment.Twodayspriortopresentation,thevertigohadworsenedinseverityandwasassociatedwithoneepisodeofnauseaandvomiting.Reviewofsystemswaspositivefora3-monthhistoryofawhistlingnoiseinthepatient’sleftear,a2-weekhistoryofacute-on-chronicleft-sidedhearingimpairment,andarecentupperrespiratoryinfection.

患者65岁男性,因恶性眩晕2周就诊,患者眩晕呈持续性存在,转身时加重,无论是平卧、坐位和站立位。加重期持续5-10分钟,程度强烈时伴随步态障碍。就诊前两天,眩晕程度加重,并出现恶心、呕吐一次。系统回顾:近3个月患者左侧鸣笛样耳鸣,2周前出现慢性左耳听力下降急性加重,近期有上呼吸道感染史。

Thepatient’smedicalhistorywasnotableforaleftradicalmastoidectomyperformed14yearspriortopresentationfortreatmentof







































北京治疗白癜风技术好的医院
北京治疗白癜风最好



转载请注明:http://www.ezugl.com/xybx/14356.html