- MeSH
- Child MeSH
- Labyrinthitis diagnostic imaging classification pathology MeSH
- Humans MeSH
- Fistula diagnosis classification pathology MeSH
- Vestibular Diseases * diagnostic imaging etiology pathology MeSH
- Inflammation * diagnostic imaging classification pathology MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Publication type
- Review MeSH
- Keywords
- akutní vestibulokochleární deficit,
- MeSH
- Acute Disease MeSH
- Diagnosis, Differential MeSH
- Epistaxis * etiology therapy MeSH
- Labyrinthitis * diagnosis etiology pathology therapy MeSH
- Humans MeSH
- Hearing Loss, Sudden * diagnosis etiology therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Deafness genetics congenital MeSH
- Labyrinthitis diagnosis therapy MeSH
- Humans MeSH
- Hearing Loss diagnosis classification MeSH
- Labyrinth Diseases diagnosis pathology therapy MeSH
- Hearing Disorders diagnosis etiology chemically induced MeSH
- Vestibular Diseases chemically induced virology MeSH
- Neuroma, Acoustic diagnostic imaging therapy MeSH
- Ear, Inner abnormalities pathology injuries MeSH
- Check Tag
- Humans MeSH
- MeSH
- Medical History Taking MeSH
- Autoimmune Diseases complications MeSH
- Bilateral Vestibulopathy * diagnosis etiology therapy MeSH
- Diagnostic Techniques, Otological MeSH
- Diagnostic Imaging methods utilization MeSH
- Diagnosis, Differential MeSH
- Gentamicins administration & dosage therapeutic use MeSH
- Disease Attributes * MeSH
- Labyrinthitis diagnosis etiology physiopathology MeSH
- Middle Aged MeSH
- Humans MeSH
- Meniere Disease MeSH
- Meningoencephalitis complications MeSH
- Vestibulocochlear Nerve physiopathology MeSH
- Rehabilitation * methods MeSH
- Somatosensory Disorders diagnosis etiology MeSH
- Statistics as Topic MeSH
- Toxic Actions MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Medical History Taking methods MeSH
- Diagnostic Techniques and Procedures MeSH
- Diagnostic Techniques, Neurological utilization MeSH
- Diagnostic Techniques, Otological utilization MeSH
- Diagnosis, Differential MeSH
- Child MeSH
- Electronystagmography MeSH
- Friedreich Ataxia diagnosis physiopathology MeSH
- Labyrinthitis diagnosis physiopathology MeSH
- Humans MeSH
- Interdisciplinary Communication MeSH
- Central Nervous System Neoplasms MeSH
- Neurotology methods MeSH
- Pediatrics * methods MeSH
- Somatosensory Disorders diagnosis etiology MeSH
- Statistics as Topic MeSH
- Vertigo * diagnosis etiology MeSH
- Vestibular Diseases * diagnosis etiology physiopathology MeSH
- Dizziness diagnosis etiology MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- MeSH
- Benign Paroxysmal Positional Vertigo diagnosis surgery MeSH
- Labyrinthitis diagnosis surgery MeSH
- Humans MeSH
- Meniere Disease diagnosis surgery MeSH
- Cerebellar Neoplasms diagnosis surgery MeSH
- Brain Neoplasms diagnosis surgery MeSH
- Otologic Surgical Procedures * classification methods utilization MeSH
- Statistics as Topic MeSH
- Nerve Compression Syndromes diagnosis surgery MeSH
- Vertigo diagnosis surgery MeSH
- Vestibular Diseases * diagnosis surgery MeSH
- Vestibular Neuronitis diagnosis surgery MeSH
- Dizziness * diagnosis surgery MeSH
- Check Tag
- Humans MeSH
Porucha sluchu v souvislosti s věkem, presbyakuze, je nejčastější senzorická abnormalita ve stáří. Etiologie presbyakuze je multifaktoriální, zahrnuje působení hluku, ototoxických látek, zánětlivých faktorů a v neposlední řadě faktory genetické. Tradiční pojetí presbyakuze se omezovalo na popis patologických mechanismů ve vnitřním uchu, v současnosti chápeme presbyakuzi jako soubor změn, které nastávají v souvislosti se stárnutím v celém sluchovém systému (a v případě poruchy vnímání řeči i mimo sluchový systém). Patologické změny v souvislosti s věkem postihují vnější vláskové buňky, vnitřní vláskové buňky a jejich synapse s vlákny nervových buněk spirálního ganglia, ale také nervové buňky centrálního sluchového systému. Z hlediska funkčního nalézáme v souvislosti s věkem kromě zvýšení sluchového prahu také změny ve vnímání časových parametrů zvukových podnětů a změny prostorového slyšení. Cílem práce je přinést přehled současných znalostí o problematice presbyakuze, a to jak na základě výsledků získaných v pokusu na zvířeti, tak z hlediska znalostí současné audiologie, psychoakustiky a zobrazovacích metod.
Age-related hearing loss, presbycusis, is the most frequently occurring sensory abnormality associated with aging. Etiology of presbycusis is multifactorial, comprising effects of noise exposure, ototoxic drugs, inflammation and last but not least genetic factors. Traditionally presbycusis was described as a complex of pathological changes appearing in the inner ear in the process of aging, at present we understand presbycusis as a complex of changes occurring in the whole auditory system (and in the case of speech perception in the non-auditory part of the brain as well). Age-related pathological vulnerability is present in the outer hair cells, inner hair cells and especially in their ribbon synapses that contact auditory nerve fibers, but also in neurons of the central auditory system. From the functional point of view, in addition to increased hearing thresholds, presbycusis is characterized also by decreased quality of the temporal processing of sounds as well as of decreased space hearing. The aim of this review is to inform about contemporary knowledge on presbycusis on the basis of results of animal experiments as well as audiological and psychoacoustical observations and results of imaging methods.
- MeSH
- Auditory Diseases, Central physiopathology MeSH
- Labyrinthitis physiopathology MeSH
- Humans MeSH
- Disease Models, Animal MeSH
- Mice MeSH
- Speech Perception MeSH
- Presbycusis * epidemiology genetics physiopathology MeSH
- Risk Factors MeSH
- Auditory Perception MeSH
- Hearing Tests MeSH
- Animals MeSH
- Check Tag
- Humans MeSH
- Mice MeSH
- Animals MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- Review MeSH
- Keywords
- otitis media acuta, antibiotika, prevence,
- MeSH
- Brain Abscess diagnosis drug therapy surgery MeSH
- Anti-Bacterial Agents therapeutic use MeSH
- Diagnosis, Differential MeSH
- Child MeSH
- Labyrinthitis diagnosis drug therapy surgery MeSH
- Humans MeSH
- Mastoiditis diagnosis drug therapy MeSH
- Meningitis diagnosis etiology drug therapy MeSH
- Otitis Media etiology complications microbiology MeSH
- Otorhinolaryngologic Surgical Procedures methods MeSH
- Otoscopy MeSH
- Paracentesis utilization MeSH
- Signs and Symptoms MeSH
- Sagittal Sinus Thrombosis diagnosis microbiology therapy MeSH
- Check Tag
- Child MeSH
- Humans MeSH
CT s vysokým rozlíšením (HRCT) sa stalo metódou voľby v zobrazovaní a diagnostike ochorení stredného ucha a prevodovej poruchy sluchu. Pomocou HRCT dokážeme detailne popísať anatómiu spánkovej kosti, patológiu stredného ucha (otitis média chronica, cholesteatóm a ich komplikácie) a traumatické zmeny. Magnetická rezonancia má naopak vysoké rozlíšenie mäkkých tkanív, preto ju využívame k diferenciálnej diagnostike mäkkotkanivovej masy stredného ucha zobrazenej na CT, k odlíšeniu reziduálneho ochorenia alebo recidívy v teréne pooperačných zmien a k zobrazeniu intrakraniálnych komplikácií akútnej a chronickej otitídy CT a MR sú komplementárnymi zobrazovacími metódami, pomáhajú stanoviť správnu diagnózu, ktorá je pre klinika dôležitá z hľadiska stratégie liečby. V publikácii uvádzame spektrum patológií stredného ucha, s ktorými sa pri zobrazení spánkovej kosti môžeme stretnúť a na ktoré treba myslieť.
High resolution computed tomography (HRCT) is a modality of choice in diagnostic imaging of middle ear pathology and conductive hearing loss. It enables to image a detail anatomy of temporal bone, pathology of middle ear (e.g. chronic otitis média, cholesteatoma and their complications) and traumatic changes in this area. On the other hand, magnetic resonance imaging (MRI) enables a high resolution of soft tissue structures. It is used in imaging of soft tissue masses in middle ear cavity previously diagnosed on CT, differentiating residual disease or recurrence in postoperative ear, and in imaging of intracranial complications of acute and chronic otitis. CT and MRI are complementary imaging modalities in helping the clinicians to determine the proper strategy for patient treatment. In this article we are listing a spectrum of different pathologic conditions of inner ear.
- MeSH
- Cholesteatoma, Middle Ear diagnosis MeSH
- Diagnostic Techniques, Otological instrumentation utilization MeSH
- Diagnosis, Differential MeSH
- Gadolinium diagnostic use MeSH
- Glomus Tumor diagnosis MeSH
- Contrast Media diagnostic use MeSH
- Labyrinthitis diagnosis MeSH
- Humans MeSH
- Magnetic Resonance Imaging methods utilization MeSH
- Neurilemmoma diagnosis MeSH
- Otitis diagnosis MeSH
- Tomography, X-Ray Computed methods utilization MeSH
- Ear, Middle physiopathology pathology MeSH
- Ear physiopathology pathology MeSH
- Neuroma, Acoustic diagnosis MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
Zobrazenie sluchového nervu a vnútorného ucha ako aj vyšších centier sluchovej dráhy pred kochleárnou implantáciou pomocou MR a/alebo CT je v dnešnej dobe štandardom. Stav vnútorného ucha má zásadný vplyv na výsledok kochleárnej implantácie (Kí). U väčšiny kandidátov na Kí je hluchota spôsobená poruchou funkcie Cortiho orgánu v inak anatomicky diferencovanom uchu so zachovaným počtom gangliových buniek a vlákien sluchového nervu. Úlohou zobrazovacích metód je prispieť k určeniu príčiny hluchoty a identifikovať anatomické podmienky pre samotný chirurgický výkon. V článku sme sa zamerali na spektrum patologických nálezov spánkovej kosti, vnútorného ucha a sluchového nervu, s ktorými sa môžeme stretnúť a na ktoré pred kochleárnou implantáciou treba upozorniť. Predoperačné zistenie abnormalít na úrovni vnútorného a prípadne stredného ucha, dáva chirurgovi možnosť implantovať vhodné ucho, naplánovať chirurgický postup a vybrať správny typ elektródy na implantáciu.
CT and/or MR imaging of acoustic nerve, inner ear and superior centers of acoustic pathway is a gold štandard before planned cochlear implantation. Condition of inner ear plays an important role in determining the outcome of cochlear implantation (CI). Most of the candidates for CI lost their hearing by impairment of the Corti organ, in otherwise anatomically normal ear with normál number of ganglion cells and fibers of acoustic nerve. Role of imaging is help to find the cause of deafness and identify anatómie conditions before surgical intervention. In this article we are trying to review different pathologic conditions of temporal bone, inner ear and acoustic nerve that are important to identify before cochlear implantation. Detection of abnormality in inner or middle ear gives surgeon a possibility to implant in a proper part of ear, pian the specific surgical techinque and determine the right type of eleetrode for implantation.
- MeSH
- Diagnostic Techniques, Otological instrumentation utilization MeSH
- Gadolinium diagnostic use MeSH
- Cochlear Implantation methods utilization MeSH
- Contrast Media diagnostic use MeSH
- Labyrinthitis diagnosis etiology pathology MeSH
- Humans MeSH
- Magnetic Resonance Imaging methods utilization MeSH
- Meningitis diagnosis etiology pathology MeSH
- Vestibulocochlear Nerve Diseases MeSH
- Otosclerosis diagnosis etiology pathology MeSH
- Tomography, X-Ray Computed methods utilization MeSH
- Persons with Disabilities MeSH
- Temporal Bone physiopathology pathology MeSH
- Ear, Inner physiopathology pathology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH