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关键词:
- Mohr-Tranebjæ /
- rg综合征 /
- 听觉丧失,感音神经性 /
- 耳蜗植入术
Abstract: A 4-year-old male patient was found poor development in hearing and speech, without family hereditary history. Hearing screening was failed at birth. From the age of 2, the patient showed poor response to sound and speech, but no audiological examination was carried out. After physical examination, no deformity was found in both ears, and the tympanic membranes were intact; the muscular tension was normal; and the visual acuity was normal. The acoustic immittance showed curve A; DPOAE showed that both ears passed; click ABR threshold was greater than 95 dB nHL, bone conduction was greater than 45 dB nHL; electrocochleogram was bilateral elicited. There were no malformations of cochlea and inner ear showed in temporal bone CT and internal auditory canal MRI. Gene detection indicated a mutation in TIMM8A gene of X chromosome. Combined with the patient's medical history, gene detection, audiological manifestations and imaging examination, the final diagnosis was Mohr-Tranebjærg syndrome, bilateral severe sensorineural hearing loss, and auditory neuropathy.-
Key words:
- Mohr-Tranebjæ /
- rg syndrome /
- hearing loss, sensorineural /
- cochlear implantation
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[1] MOHR J,MAGEROY K.Sex-linked deafness of a possibly new type[J].Acta Genet Stat Med,1960,10:54-62.
[2] TRANEBJAERG L,SCHWARTZ C,ERIKSEN H,et al.A new X linked recessive deafness syndrome with blindness,dystonia,fractures,and mental deficiency is linked to Xq22[J].J Med Genet,1995,32:257-263.
[3] TRANEBJAERG L,JENSEN P K,VAN GHELUE M,et al.Neuronal cell death in the visual cortex is a prominent feature of the X-linked recessive mitochondrial deafness-dystonia syndrome caused by mutations in the TIMM8A gene[J].Ophthalmic Genet,2001,22:207-223.
[4] KOEHLER C M,LEUENBERGER D,MERCHANT S,et al.Human deafness dystonia syndrome is a mitochondrial disease[J].Proc Natl Acad Sci,1999,96:2141-2146.
[5] BAHMAD F Jr,MERCHANT S N,NADOL J B Jr,et al.Otopathology in Mohr-Tranebjærg Syndrome[J].Laryngoscope,2007,117:1202-1208.
[6] FAYAD J N,LINTHICUM F H.Multichannel cochlear implants:relation of histopathology to performance[J].Laryngoscope,2006,116:1310-1320.
[7] BROOKES J T,KANIS A B,TAN L Y,et al.Cochlear implantation in deafness-dystonia-optic neuronopathy(DDON)syndrome[J].Int J Pediatr Otorhinolaryngol,2008,72:121-126.
[8] PETERSON A,SHALLOP J,DRISCOLL C,et al.Outcomes of cochlear implantation in children with auditory neuropathy[J].J Am Acad Audiol,2003,14:188-201.
[9] COENEN V A,RIJNTJES M,SAJONZ B,et al.Bilateral Globus Pallidus Internus Deep Brain Stimulation in a Case of Progressive Dystonia in Mohr-Tranebjærg Syndrome with Bilateral Cochlear Implants[J].J Neurol Surg A Cent Eur Neurosurg,2019,80:44-48.
[10] WANG H,WANG L,YANG J,et al.Phenotype prediction of Mohr-Tranebjærg syndrome(MTS)by genetic analysis and initial auditory neuropathy[J].BMC Med Genet,2019,20:11.
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