원저

이명치료 중 발견된 두개내 및 내이질환

전경명1,*, 고의경1, 이일우1, 문영일1, 이병주1, 노환중1, 왕수건1
Kyong-Myong Chon1,*, Eui-Kyung Goh1, Il-Woo Lee1, Young-Il Moon1, Byung-Joo Lee1, Hwan-Jung Roh1, Soo-Geun Wang1
Author Information & Copyright
1부산대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Pusan National University, Busan, Korea
*교신저자: 전경명, 602-735 부산광역시 서구 아미동 1-10 부산대학교 의과대학 이비인후과학교실 전화: (051) 240-733, 7335·전송: (051) 248-1248 E-mail: chonkm@pusan.ac.kr

© Copyright 2002 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Apr 01, 2002; Accepted: May 01, 2002

Published Online: May 31, 2020

ABSTRACT

Objectives: Tinnitus is one of the most common complaints in clinical field of otolaryngology but we often manage the tinnitus patient without definite diagnosis. We investigated the other causes except psychoacoustic factor in intractable tinnitus cases to medical treatment. Materials and Methods: We experienced 9 cases of intracranial and inner ear diseases in patients with intractable tinnitus to treatment, which were diagnosed using computed tomography (CT), magnetic resonance imaging (MRI), serum analysis, and vestibular function tests (VFTs) and report it with review of literature. Results: Of 9 cases, there are 2 cases of high jugular bulb, 2 cases of vascular anomalies, 2 cases of tumors (acoustic neuroma and meningioma) , a case of labyrinthine lues, neurovascular compression, and multiple sclerosis, respectively. Conclusions: In case of intractable tinnitus, whether it is pulsatile or nonpulsatile, we should suspect intracranial pathology and consider every kind of diagnostic tools as possible including routine laboratory evaluation, CT, MRI, and VFTs. Even in meningioma and labyrinthine lues, they complained pulsatile tinnitus. So it is very difficult to differentiate pulsatile tinnitus from nonpulsatile one clealy. Pitch and loudness of tinnitus have little relationship with the character of tinnitus, pulsatile or nonpulsatile. Because tinnitus patient without vestibular symptoms may have vestibular lesion, we should do VFTs in all cases of tinnitus patient. (J Clinical Otolaryngol 2002;13:56–64)

Keywords: 이명; 두개내질환; 내이질환
Keywords: Tinnitus; Intracranial disease; Inner ear disease