RESUMEN
BACKGROUND: About 5-15% of people in the Western world will suffer from an extended period of tinnitus during their lifetime. This is often a non-treatable, disabling disorder. Tinnitus can be classified as pulsatile or non-pulsatile. Pulsatile tinnitus can be caused by a treatable neurovascular compression. CASE DESCRIPTION: Here we describe two patients, a 68-year old woman and 40-year old man suffering from pulsatile tinnitus and hemifacial spams due to neurovascular compression of the facial and acoustic nerve in the anterior cranial fossa. After microvascular decompression using the Jannetta procedure, in which a sponge was placed between the blood vessel and the nerve, the tinnitus and hemifacial spasm disappeared. CONCLUSION: Recognition of hemifacial spasm in patients with tinnitus is important because the symptoms are treatable when it is due to neurovascular compression. Because hemifacial spasm can manifest in subtle forms - for instance unilateral blinking - this important symptom can easily be overlooked.
Asunto(s)
Espasmo Hemifacial/etiología , Síndromes de Compresión Nerviosa/complicaciones , Acúfeno/etiología , Adulto , Anciano , Descompresión Quirúrgica , Enfermedades del Nervio Facial/complicaciones , Enfermedades del Nervio Facial/cirugía , Femenino , Espasmo Hemifacial/terapia , Humanos , Masculino , Síndromes de Compresión Nerviosa/cirugía , Acúfeno/terapia , Enfermedades del Nervio Vestibulococlear/complicaciones , Enfermedades del Nervio Vestibulococlear/cirugíaRESUMEN
The Baha (bone-anchored hearing aid) Softband appears to be an effective mean of hearing rehabilitation for children with a congenital bilateral aural atresia who are too young for the amplification of a Baha on an implant. The aided hearing threshold with a Baha Softband is almost equal to that achieved with a conventional bone conductor. The speech development of the children studied with a Baha Softband is on a par with peers with good hearing.
Asunto(s)
Audífonos , Pérdida Auditiva Bilateral/congénito , Pérdida Auditiva Bilateral/terapia , Pérdida Auditiva Conductiva/congénito , Pérdida Auditiva Conductiva/terapia , Audiometría , Conducción Ósea , Conducto Auditivo Externo/anomalías , Diseño de Equipo , Pérdida Auditiva Bilateral/diagnóstico , Pérdida Auditiva Conductiva/diagnóstico , Humanos , Lactante , Desarrollo del Lenguaje , Pruebas Psicológicas , Estudios RetrospectivosRESUMEN
An 80-year-old man is described with a left-sided recurrent laryngeal nerve palsy after primary total hip arthroplasty. Intubation was uncomplicated. Aetiology is discussed. It might be caused by intubation injury, stretch-induced injury due to cervical hyperextension or inappropriate positioning during surgery in the lateral approach or a combination.
