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Un cas de prcuperation partielle de l'audition apres l'ablation d'un neurinome de l'[ angle pontocerebelleux

机译:移除小脑神经瘤后部分听力下降的病例

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摘要

A case of a 44 year-old woman farmer with a total deafness and lack of vestibular function on the left side operated upon the cerebello-pontine cystic neuroma 2.5x2.0x1.5 cm large via the retromastoidal craniectomy is presented. Despite of the negative audiological tests' results the cochlear nerve flatten on the tumor was cautiously separated. Some time after surgery, she observed "a partial recovery of hearing" in the operated ear confirmed by the tonal (mean 0.5-2 kHz 36 dBHL) vocal SRT 70 dB), BERA and EOAEs tests. The paralysis of the left vestibular function did not recover. In consecutive audio-gram a notch at 6 kHz 15 dB deep appeared in the operated ear and one can presume an increased vulnerability of this ear to the noise of the agricultural machines used by then by the patient.
机译:介绍了一个44岁的女性农民的案例,该女性农民全耳聋,前庭功能不足,通过乳突后颅骨切除术对2.5x2.0x1.5 cm大的小脑桥脑膜囊性神经瘤进行手术。尽管听觉测试结果不佳,但仔细分离了肿瘤上的耳蜗扁平神经。手术后一段时间,她观察到手术后的耳朵“部分恢复了听力”,并通过音调(平均0.5-2 kHz 36 dBHL),声音SRT 70 dB),BERA和EOAEs测试得到了证实。左前庭功能麻痹没有恢复。在连续的听力图中,手术后的耳朵出现了一个6 kHz 15 dB深的陷波,可以推测出该耳朵对患者当时使用的农业机械噪声的脆弱性增加了。

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