临床误诊误治2017，Vol.30Issue(10)：13-16,4.DOI:10.3969/j.issn.1002-3429.2017.10.005
经内耳钆剂MRI造影确诊的儿童梅尼埃病一例并文献复习
Meniere Disease in Children ( Case Report and Literature Review)
摘要
Abstract
Objective To improve the understanding of Meniere's disease in children and to achieve early diagnosis and treatment of Ménière's disease in children. Methods The clinical data of a child diagnosed as Ménière's disease depended on medical history, hearing results and inner ear MRI with Gadolinium enhancement were studied. Literatures about Ménière's disease in children were also reviewed. Results An 11 year old boy presented to our clinic due to episode of vertigo and tinni-tus of the left ear for 6 years. Vertigo The vertigo occurred 4-5 times a year and the hearing of the left ear was decreased gradu-ally. The child was treated in other hospital for many times and got no efficacy result. Ménière's disease was confirmed depen-ded on detailed medical history, hearing results and inner ear MRI with Gadolinium enhancement. The inner ear MRI exami-nation demonstrated an enlarged endolymphatic space in vestibule, which was consistent with the pathology of endolymphatic hydrops of Ménière's disease. Endolymphatic sac decompression was performed on this child. During more than 3 months' fol-low up, there was no recurrence of dizziness and hearing was preserved after surgery. Conclusion Endolymphatic hydrops ex-ists in the early stage in children with Ménière's disease. Children may give inadequate information of the clinical characters of dizziness, which may mislead to the difficult to diagnosis. Inner ear MRI examination with Gadolinium enhancement can detect endolymphatic hydrops, and provide objective evidence for the diagnosis of Ménière's disease.关键词
梅尼埃病/儿童/眩晕/磁共振成像/误诊Key words
Meniere disease/Child/Vertigo/Magnetic resonance imaging/Misdiagnosis分类
医药卫生引用本文复制引用
刘娅,赵丹珩,林勇生,刘阳..经内耳钆剂MRI造影确诊的儿童梅尼埃病一例并文献复习[J].临床误诊误治,2017,30(10):13-16,4.基金项目
军队后勤科研基金资助项目(BWS14J???) （BWS14J???）
