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Research in Vestibular Science > Volume 10(1); 2011 > Article
Research in Vestibular Science 2011;10(1): 42-45.
비전형적인 안진 양상을 보인 만성 중이염에 합병된 급성 장액성 미로염 1예
, , 박현우1, 안성기1,2, 허동구1,2
경상대학교 의학전문대학원 이비인후과학교실1, 건강과학연구원2
A Case of Acute Serous Labyrinthitis Complicated by Chronic Otitis Media Showing Atypical Nystagmus Pattern
Hyun Woo Park, Seong Ki Ahn, Dong Gu Hur
1Department of Otolaryngology and Head and Neck Surgery, Gyeongsang National University School of Medicine, Jinju, Korea. mdhur@hanmail.net
2Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Korea.
ABSTRACT
Serous or suppurative labyrinthitis is one of the intratemporal complications of acute or chronic otitis media. Labyrinthitis can occur by meningogenic or hematogenous infection. Major symptoms of labyrinthitis are vertigo and hearing loss. The disease progresses in two phases; serous labyrinthitis, so called toxic labyrinthitis, and suppurative labyrinthitis. If labyrinthitis treated at serous phase, hearing could be saved. But, if the disease progressed to suppurative phase, hearing loss is difficult to recover. Therefore it is very important to distinguish these two phases of labyrinthitis when treating the patient. In general, the direction of nystagmus during labyrinthitis is helpful sign to distinguish these two phases. We report here on an unusual case of acute serous labyrinthitis complicated with chronic otitis media showing atypical pattern with a review of the related literatures.
Keywords: Labyrinthitis; Otitis media; Nystagmus
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