中华耳科学杂志2011，Vol.9Issue(4)：361-364,4.
儿童梅尼埃病与老年梅尼埃病的临床比较研究
The difference between Meniere's disease in children and the elderly
吴子明 1张素珍 1刘兴健 1冀飞1
作者信息
- 1. 解放军总医院耳鼻咽喉头颈外科,北京100853
- 折叠
摘要
Abstract
Objective Meniere's disease is a rare condition in both the elderly(≥60yrs)and children(≤ 15yrs). This article focuses on and compares their clinical characteristics. Methods The elderly and children with Meniere's disease treated between January 2004 and July 2007 were studied and their clinical manifestation, electrocochleography (ECoG), veelibular evoked myogmic potential (VEMP), caloric test and pure tone audiogram data were investigated. Results (l)The prevalence of Meniere's disease in the elderly was 2.22% (13/586) and the prevalence of Meniere's disease in children was 1.71%( 10/586)with the youngest being 3 years old. (2)The initial symptoms in the children included cochlear and vestibular symptoms (n=4), cochlear symptoms only (n=3), spinning vertigo only (n=2) and drop attacks only (n=l); in the elderly, 2 cases presented with both cochlear and vestibular symptoms, 9 cases with only cochlear symptoms, 1 cases with only spinning vertigo and 1 case with only drop attacks. (3)The audiogram: audiogram patterns in thechildren included low frequency dropping (7 cases) and flat pure tone audiogram (3 cases). Audiograms in the elderly were variable including low and high frequency hearing loss, flat hearing loss, and high-frequency hearing loss of irrelevant durations. (4)Vestibular function were variable with no particular patterns in both the children and elderly. Conclusions The audiogram in the elderly Meniere' s disease patients appears to show prominently high frequency hearing loss, while that in children patients can show low frequency dropping or flat hearing loss patterns. Vestibular function test data in children and the elderly with Meniere 's disease seem to be variable with no particular patterns.关键词
儿童/老年/梅尼埃病Key words
Children/The elderly/Meniere' s disease分类
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吴子明,张素珍,刘兴健,冀飞..儿童梅尼埃病与老年梅尼埃病的临床比较研究[J].中华耳科学杂志,2011,9(4):361-364,4.
