کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6287104 | 1615569 | 2016 | 31 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Ischemia as a potential etiologic factor in idiopathic unilateral sudden sensorineural hearing loss: Analysis of posterior circulation arteries
ترجمه فارسی عنوان
ایسکمی به عنوان یک عامل بالقوه اتیولوژیک در کاهش افت شنوایی حسی عصبی ناحیه ایوپاتیک یک طرفه: تحلیل رگ ها
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
EMRPTAAICAASCVDAtherosclerosis - آترواسکلروز(تصلب شریان)idiopathic sudden sensorineural hearing loss - افت شنوایی ناشی از حساسیت ناگهانی ایدیوپاتیکSudden hearing loss - افت شنوایی ناگهانیMRI - امآرآی یا تصویرسازی تشدید مغناطیسیIschemia - ایسکمیAtherosclerotic cardiovascular disease - بیماری قلبی عروقی AtheroscleroticMagnetic resonance imaging - تصویربرداری رزونانس مغناطیسیEtiology - سببشناسی یا اتیولوژیbasilar artery - شریان basilarAnterior inferior cerebellar artery - شریان مغزی قدامی قدامیpure tone audiometry - صدای سنجی صدای خالصelectronic medical record - مدارک پزشکی الکترونیکی
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
سیستم های حسی
چکیده انگلیسی
The association between idiopathic sudden sensorineural hearing loss (ISSNHL) and the radiologic characteristics of the vertebrobasilar artery is unclear. We hypothesized that the degree and direction of vertebrobasilar artery curvature in the posterior circulation contribute to the occurrence of ISSNHL. We consecutively enrolled patients diagnosed with unilateral ISSNHL in two tertiary hospitals. Magnetic resonance images were performed in all patients to exclude specific causes of ISSNHL, such as vestibular schwannoma, chronic mastoiditis, and anterior inferior cerebellar artery infarct. We measured the following parameters of posterior circulation: vertebral and basilar artery diameter, the degree of basilar artery curvature (modified smoker criteria), and vertebral artery dominance. Pure tone audiometries were performed at admission and again 1 week and 3 months later. A total of 121 ISSNHL patients (mean age, 46.0 ± 17.3 years; 48.8% male) were included in these analyses. The proportion of patients with the left side hearing loss was larger than the proportion with the right side hearing loss (left, 57.9%; right, 42.1%). The majority of patients were characterized by a left dominant vertebral artery and right-sided basilar artery curvature. The direction of the basilar artery curvature was significantly associated with hearing loss lateralization (p = 0.036). Age and sex matched multivariable analyses revealed the absence of diabetes and right-sided basilar artery curvature as significant predictors for left sided hearing loss. There was no statistical difference between atherosclerotic cardiovascular risk score (high versus low) and hearing outcomes at 3 months. In ISSNHL, the laterality of hearing loss was inversely associated with the direction of basilar artery curvature. Our results, therefore, indicate the importance of vascular assessment when evaluating ISSNHL.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Hearing Research - Volume 331, January 2016, Pages 144-151
Journal: Hearing Research - Volume 331, January 2016, Pages 144-151
نویسندگان
Chulho Kim, Jong-Hee Sohn, Min Uk Jang, Sung-Kwang Hong, Joong-Seob Lee, Hyung-Jong Kim, Hui-Chul Choi, Jun Ho Lee,