Pacientka V.S. 72 let
{"Image DocumentName": "Pacientka V.S. 72 let", "Image ImageDescription": "Anam.: Hypertenze, jinak intern\u011b zdr\u00e1va. Asi 1\u00e9 let sledov\u00e1na pro percep\u010dn\u00ed hypakuzi a tinnitus vlevo, sluchadlo. Posledn\u00ed 2 roky se objevuj\u00ed paroxysmy vertiga rota\u010dn\u00edho charakteru s emez\u00ed. Objevuj\u00ed se n\u00e1hle, prov\u00e1z\u00ed je akcentace tinnitu, oscillopsie, tah doleva. Z\u00e1chvat trv\u00e1 n\u011bkolik hodin a\u017e p\u016fl dne, nikdy ne d\u00e9le ne\u017e 24 hodin. Frekvence a intenzita z\u00e1chvat\u016f nar\u016fstaj\u00ed, nyn\u00ed prakticky ka\u017ed\u00fd t\u00fdden. Klinicky : nystagmus nen\u00ed patrn\u00fd, tonick\u00e9 \u00fachylky nejsou patrny, v ch\u016fzi ZO instabilita bez stranov\u00e9 prevalence. Hypakuze vlevo. Intolerance prakticky v\u0161ech dostupn\u00fdch vasodilatanci\u00ed a betahistinu - ortostatick\u00e1 hypotenze. ENG : Kalorick\u00e1 areflexie lev\u00e9 labyrintu, rota\u010dn\u00ed hyporeflexie, v podstat\u011b symetrick\u00e1 bilat. Vizuo-vestibul\u00e1rn\u00ed interakce je zachov\u00e1na. Z\u00e1v\u011br : Labyrintopatie vlevo s rozvojem sekund\u00e1rn\u00edho hydropsu. Pacientka je indikov\u00e1na k chirurgick\u00e9 l\u00e9\u010db\u011b vertiga.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}