Langerhans Cell Histiocytosis of the Petrous Bone With Sudden Sensorineural Hearing Loss : Case Report
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概要
- 論文の詳細を見る
A 56-year-old woman with Langerhans cell histiocytosis of the petrous bone presented with sudden onset of sensorineural hearing loss and vertigo without other neurological impairment, mimicking idiopathic sudden sensorineural hearing loss. Differential diagnosis was difficult until neuroimaging demonstrated a lesion of the petrous bone. The patient eventually underwent removal of the lesion via the transpetrosal approach, and received postoperative chemotherapy consisting of vinblastine, methotrexate, 6-mercaptopurine, and prednisolone. Although her hearing did not recover, complete remission was achieved, and the patient is currently free from disease. Physicians need to be aware that patients with sudden onset of hearing loss may have an unexpected and hidden disease which requires neuroimaging and histological examinations for definitive diagnosis and appropriate treatment.
- 2010-08-15
著者
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NISHIZAWA Shigeru
Department of Neurosurgery, University of Occupational and Environmental Health
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SUZUKI Hideaki
Department of Surgery, Nagai General Hospital
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Ohkubo Jun-ichi
Department Of Otorhinolaryngology University Of Occupational And Environmental Health
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Nishizawa Shigeru
Department Of Neurosurgery Hamamatsu University School Of Medicine
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HOHCHI Nobusuke
Department of Otorhinolaryngology, University of Occupational and Environmental Health
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WAKASUGI Tetsuro
Department of Otorhinolaryngology, University of Occupational and Environmental Health
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SHIBATA Minori
Department of Otorhinolaryngology, University of Occupational and Environmental Health
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TSUKADA Jun-ichi
Cancer Chemotherapy Center, School of Medicine, University of Occupational and Environmental Health
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Tsukada Jun-ichi
Cancer Chemotherapy Center School Of Medicine University Of Occupational And Environmental Health
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Suzuki Hideaki
Department Of Neuropsychiatry Nippon Medical School
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Shibata Minori
Department Of Otorhinolaryngology University Of Occupational And Environmental Health
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Hohchi Nobusuke
Department Of Otorhinolaryngology University Of Occupational And Environmental Health
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Wakasugi Tetsuro
Department Of Otorhinolaryngology School Of Medicine University Of Occupational And Environmental He
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Wakasugi Tetsuro
Department Of Otorhinolaryngology University Of Occupational And Environmental Health
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Suzuki Hideaki
Department Of Otorhinolaryngology University Of Occupational And Environmental Health
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Suzuki Hideaki
Department Of Electronics Faculty Of Engineering Nagoya University
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Suzuki Hideaki
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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