Bilateral Sudden Profound Hearing Loss and Vertigo as a Unique Manifestation of Bilateral Symmetric Inferior Pontine Infarctions

Bovo, Roberto; Ortore, Rocco Pio; Ciorba, Andrea; Berto, Anna; Martini, Alessandro

doi:10.1177/000348940711600603

Cited by 18 publications

(16 citation statements)

References 12 publications

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“…In addition, the cochlea requires higher energy for work than the vestibular structure 6). Verebrobasilar ischemia could have a poor prognosis with severe truncal ataxia or evolve into locked-in syndrome or coma; some patients have eventually died 8-9). There was no recommended treatment with anticoagulation in total stenosis of intracranial arteries, however, we began anticoagulation therapy for prevention of ongoing cerebral infarction and the patient had resolved by 2 weeks 10)…”

Section: Discussionmentioning

confidence: 99%

Vertebrobasilar Occlusion Presenting as Sudden Isolated Bilateral Sensorineural Hearing Loss: Case Report

Kim

Son

Kang

et al. 2013

J Cerebrovasc Endovasc Neurosurg

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Isolated bilateral deafness is a rare but possible symptom of vertebrobasilar ischemia, primarily due to occlusion of the anterior inferior cerebellar arteries or their branch, the internal auditory artery. We reported on uncommon case of sudden bilateral sensorineural hearing loss without typical neurological symptoms resulting from vertebrobasilar ischemia. We performed the available examinations, including otoscopy, laboratory tests, and pure tone audiogram, however we were not able to identify the cause of bilateral sensorineural hearing loss. Brain magnetic resonance image showed the cerebellar infarction of the posterior inferior cerebellar artery territory. Brain magnetic resonance angiography showed bilateral vertebral and basilar artery occlusion. We suggest vertebrobasilar ischemia as a cause of sudden isolated deafness.

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Section: Discussionmentioning

confidence: 99%

Vertebrobasilar Occlusion Presenting as Sudden Isolated Bilateral Sensorineural Hearing Loss: Case Report

Kim

Son

Kang

et al. 2013

J Cerebrovasc Endovasc Neurosurg

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“…Although SCA syndrome does not usually lead to hearing loss, contralateral hearing loss has been rarely reported [23,31]. Basilar artery occlusion rarely results in hearing loss, and hearing loss is usually bilateral in these cases [4,5,[24][25][26][27][28][29]32]. Hearing loss has been demonstrated in 0-31% of patients with vertebrobasilar artery insufficiency [33][34][35][36][37][38][39][40].…”

Section: Review Of the Literaturementioning

confidence: 99%

Sensorineural Hearing Loss Due to Vertebrobasilar Artery Ischemia-Illustrative Case and Literature Review

Ohki¹

2013

J Neurol Neurophysiol

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“…20 It is important to keep in mind that sudden onset vertigo or deafness can be harbinger of AICA infarct or a basilar thrombosis as reported in several case reports. 21,22 The initial MRI may be normal in these cases of ischemia (not infarction) in the territory of AICA. Thus vertebrobasilar territory stroke should be considered in patients with vascular risk factors presenting with isolated vertigo even in the absence of brain stem or cerebellar signs.…”

Section: Labyrinthine Infarctsmentioning

confidence: 99%

Vertigo in Cerebrovascular Diseases

Chakor¹,

Eklare²

2012

An International Journal of Otorhinolaryngology Clinics

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Background Vertigo as a symptom of cerebrovascular disease is relatively uncommon. All types of cerebrovascular diseases namely ischemia, infarction, hemorrhage can produce vertigo. Since, cerebrovascular disease is an emergency prompt recognition and treatment is necessary to prevent neurologic deficit and death. Among cerebrovascular diseases vertebrobasilar territory strokes commonly present with vertigo. Since, the term vertigo is used nonspecifically by patients this may lead to delay in diagnosis of these strokes. This article reviews the epidemiology of vertigo in cerebrovascular diseases and the various stroke syndromes associated with vertigo. Summary Cerebrovascular diseases in the vertebrobasilar territory have vertigo, imbalance, dizziness in addition to other symptoms and signs. Posterior inferior cerebellar artery, anterior inferior cerebellar artery, superior cerebellar artery and basilar artery territory strokes can present with true vertigo. A high index of suspicion of stroke in patients with vertigo and risk factors for stroke is essential. Other vascular causes of vertigo are small cerebellar hemorrhage, vestibular cortex stroke, rotational vertebral artery syndrome, transverse/sigmoid sinus thrombosis and vestibular paroxysmia. Conclusion Cerebrovascular disorders are estimated to account for 3 to 4% of patients with vertigo or dizziness. Early detection and treatment is necessary to prevent disability and death in these cases of vascular vertigo. How to cite this article Chakor RT, Eklare N. Vertigo in Cerebrovascular diseases. Int J Otorhinolaryngol Clin 2012;4(1):46-53.

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Bilateral Sudden Profound Hearing Loss and Vertigo as a Unique Manifestation of Bilateral Symmetric Inferior Pontine Infarctions

Cited by 18 publications

References 12 publications

Vertebrobasilar Occlusion Presenting as Sudden Isolated Bilateral Sensorineural Hearing Loss: Case Report

Vertebrobasilar Occlusion Presenting as Sudden Isolated Bilateral Sensorineural Hearing Loss: Case Report

Sensorineural Hearing Loss Due to Vertebrobasilar Artery Ischemia-Illustrative Case and Literature Review

Vertigo in Cerebrovascular Diseases

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