The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
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A Case Report of Vestibular Schwannoma Misdiagnosed as Idiopathic Sudden Sensorineural Hearing Loss

특발성 돌발성 난청으로 오인된 청신경 종양 1례

  • Ko, Hye-Yeon (Dep. of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Jae-Ho (Dep. of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Lee, Ma-Eum (Dep. of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Min-Hee (Dep. of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong)
  • 고혜연 (강동경희대학교병원 한방안이비인후피부과) ;
  • 김재호 (강동경희대학교병원 한방안이비인후피부과) ;
  • 이마음 (강동경희대학교병원 한방안이비인후피부과) ;
  • 김민희 (강동경희대학교병원 한방안이비인후피부과)
  • Received : 2021.07.02
  • Accepted : 2021.07.29
  • Published : 2021.08.25
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Abstract

Objective : The purpose of this study is to discriminate the vestibular schwannoma misdiagnosed as Idiopathic Sudden Sensorineural Hearing Loss. Methods : A 46-year-old female patient who was suffering left sudden sensorineural hearing loss(SSNHL), visited after diagnosed as Idiopathic SSNHL by previous hospital. For diagnosing the vestibular schwannoma, we conducted the Puretone audiometry, auditory brainstem response threshold test and magnetic resonance imaging(MRI) for temporal bone with enhancement. Result : Auditory Brainstem Response threshold test was abnormal and in enhanced MRI, the vestibular schwannoma in left side was detected. The patient was discharged from the hospital for tertiary hospital care. Conclusions : When the patient with SSNHL visits a hospital even if after diagnosed as Idiopathic SSNHL by previous hospital, a doctor should keep in mind the possibility of vestibular schwannoma.

1. 청신경 종양 진단의 표준 검사는 두부 가돌리늄 조영 증강 자기 공명 영상 촬영이며, 경제적 문제 등으로 조영 증강 자기 공명 영상 촬영이 어려울 경우에는 청성 뇌간 반응(auditory brainstem response) 검사를 시행할 수 있다. 2. 특발성 돌발성 난청으로 진단 받은 후, 한의 의료기관에 내원한 환자에서도 기존 검사결과를 검토하여 후미로성 질환을 배제한 후 치료를 시작해야한다. 3. 비조영 증강 자기 공명 영상 촬영을 통해 후미로성 질환을 배제한 환자에서도 임상적으로 후미로성 질환이 의심되는 경우에는 표준 검사인 가돌리늄 조영 증강 자기 공명 영상 재촬영을 통해 청신경종을 감별하는 것이 바람직하다. 4. 청신경 종양에서 한방 치료를 표준 치료와 병행하여 제반 증상에 대한 관리를 기대해 볼 수 있다.

Keywords

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