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自Jannetta报道血管神经交叉压迫为半面肌痉挛、三叉神经痛、舌咽神经痛的病因以来,微血管减压术已广泛应用,第Ⅷ神经血管交叉压迫,难以与其它耳病(梅尼埃病、位置性眩晕、突聋等)鉴别,因此确定手术指征较困难。现报道一例Ⅶ、Ⅷ神经血管交叉压迫,阐明其诊断方法、手术指征。患者男性,53岁。右半面肌痉挛伴同侧搏动性耳鸣,顽固性眩晕。纯音测听为波动性感音性聋,有重振。眼震电
Since Jannetta reported angio-nerve cross-compression for hemifacial spasm, trigeminal neuralgia, glossopharyngeal neuralgia causes microvascular decompression has been widely used, Ⅷ cross-oppression of vascular blood vessels, and other ear diseases and difficult (Meniere’s disease, Positional vertigo, sudden deafness, etc.) identification, so to determine the surgical indications more difficult. Is reported in a case of â ... ¢ â ..., â ... ¢ neurovascular cross-oppression, to clarify its diagnostic methods, surgical indications. Patient male, 53 years old. Right hemisphere spasm with ipsilateral pulsatile tinnitus, intractable vertigo. Pure tone audiometry is sensitive to fluctuations in the sense of hearing loss, there is revival. Ocular electrocution