Objective tinnitus is defined as a type of tinnitus perceived by both the patient and external observer.This paper presents two cases of objective tinnitus related to palatal tremor,along with a literature review.Pala...Objective tinnitus is defined as a type of tinnitus perceived by both the patient and external observer.This paper presents two cases of objective tinnitus related to palatal tremor,along with a literature review.Palatal tremor is a condition characterized by soft palate involuntary contractions.Two types of palatal tremor have been described:symptomatic palatal tremor and essential palatal tremor,with different clinical manifestations.Diagnostic workup is based on medical history and physical examination,including direct oropharynx exploration and cavum visualization through nasopharyngoscopy.Brain MRI is mandatory in all cases.If a secondary origin is suspected,additional lab tests should be performed based on clinical suspicion.First-line treatment is botulinum toxin injection into the levator veli palatini and tensor veli palatini muscles,with velopharyngeal insufficiency being its main adverse effect.Other medications have not been shown to be effective.展开更多
作为一种"符号体系"的现代科学,通过与"经验领域"及"实在领域"的断裂和基于纯粹理性的"数学筹划",为自身赢得了独立与自治。拉康以此为参照,将人类的现实世界理解为"想象界、符号界和实在...作为一种"符号体系"的现代科学,通过与"经验领域"及"实在领域"的断裂和基于纯粹理性的"数学筹划",为自身赢得了独立与自治。拉康以此为参照,将人类的现实世界理解为"想象界、符号界和实在界"三个辖域共同组成的拓扑结构。其中,作为三元组核心的实在界之基本内涵,可从现实内外两个方面来加以把握。绝对外在于人类现实的"实在",既包括被现代科学所排除的"物性实在",也包括人自身之中的"生命实在",此内涵可大致对应于拉康的"原物"(das Ding)。现实之内的"实在"则体现为一种基础性的僵局或悖论,即,以语言为基础的现实世界既无法得到"实在",也无法挣脱"实在",此僵局可具体化为拉康的"客体小a"(objet petit a)。展开更多
文摘Objective tinnitus is defined as a type of tinnitus perceived by both the patient and external observer.This paper presents two cases of objective tinnitus related to palatal tremor,along with a literature review.Palatal tremor is a condition characterized by soft palate involuntary contractions.Two types of palatal tremor have been described:symptomatic palatal tremor and essential palatal tremor,with different clinical manifestations.Diagnostic workup is based on medical history and physical examination,including direct oropharynx exploration and cavum visualization through nasopharyngoscopy.Brain MRI is mandatory in all cases.If a secondary origin is suspected,additional lab tests should be performed based on clinical suspicion.First-line treatment is botulinum toxin injection into the levator veli palatini and tensor veli palatini muscles,with velopharyngeal insufficiency being its main adverse effect.Other medications have not been shown to be effective.
文摘作为一种"符号体系"的现代科学,通过与"经验领域"及"实在领域"的断裂和基于纯粹理性的"数学筹划",为自身赢得了独立与自治。拉康以此为参照,将人类的现实世界理解为"想象界、符号界和实在界"三个辖域共同组成的拓扑结构。其中,作为三元组核心的实在界之基本内涵,可从现实内外两个方面来加以把握。绝对外在于人类现实的"实在",既包括被现代科学所排除的"物性实在",也包括人自身之中的"生命实在",此内涵可大致对应于拉康的"原物"(das Ding)。现实之内的"实在"则体现为一种基础性的僵局或悖论,即,以语言为基础的现实世界既无法得到"实在",也无法挣脱"实在",此僵局可具体化为拉康的"客体小a"(objet petit a)。