鼓室脑膜瘤1例

Tympanum meningioma:one case report

1病例报告患者,女,63岁,右耳耳鸣、听力下降、头痛1年伴间断性眩晕9个月于2014年8月15日入院。专科检查：右耳鼓膜充血水肿,右耳重度传导性聋,左耳轻度听力损失。平均听阈：右耳65 dB,左耳35 dB。双侧鼻腔通气可,咽无充血,会厌无红肿,声带运动、闭合好。影像学检查：CT显示右耳鼓室见软组织密度肿块影（图1a、b）,部分听小骨显示不清,鼓室上壁骨质变薄（图1c）,鼓窦入口未见扩大,

Clinical presatation：right ear tinnitus,hearing loss,headache for 1 year with intermittent vertigo for 9 months.Specialized examination：right ear tympanum hyperemia and edema,right ear severe conduction deafness,left ear mild hearing loss.The average threshold：right ear 65 dB,the left ear 35 dB.Imaging examination：CT showed the soft tissue density mass in the right ear tympanum,part of the ear bone obscurity,superior wall of the tympanic cavity attenuation,tympanic sinus entry is not expanding.Imaging diagnosis：chronic otitis media with cholesteatoma formation.Postoperative diagnosis：meningioma.