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Sudden deafness as an initial presenting symptom of posterior inferior cerebellar artery infarction: two case reports

Published online by Cambridge University Press:  02 October 2014

E J Lee*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonbuk National University School of Medicine, Research Institute of Clinical Medicine of Chonbuk National University – Chonbuk National University Hospital, Jeon-ju, Korea
Y J Yoon
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonbuk National University School of Medicine, Research Institute of Clinical Medicine of Chonbuk National University – Chonbuk National University Hospital, Jeon-ju, Korea
*
Address for correspondence: Dr Eun Jung Lee, Department of Otolaryngology – Head and Neck Surgery, Chonbuk National University School of Medicine, 42 Wonjam 5 gil, Doekjingu, Jeon-Ju 561-712, Korea Fax: +82 63 250 1986 E-mail: [email protected]

Abstract

Objective:

This paper reports on two patients with posterior inferior cerebellar artery infarction whose only presenting complaint was acute unilateral hearing loss.

Case reports:

In the two cases reported, sudden hearing loss was an initial symptom, with no other neurological signs. Infarction in the territory of the posterior inferior cerebellar artery was diagnosed using brain magnetic resolution imaging. The patients had some degree of hearing improvement 3 or 4 days after initial treatment.

Conclusion:

In this article, new cases of posterior inferior cerebellar artery infarction presenting as sudden deafness, without prominent neurological signs, are described. Otologists should be aware that hearing loss can sometimes appear as a warning sign of impending posterior inferior cerebellar artery infarction.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Lee, H, Whitman, GT, Lim, JG, Lee, SD, Park, YC. Bilateral sudden deafness as a prodrome of anterior inferior cerebellar artery infarction. Arch Neurol 2001;58:1287–9CrossRefGoogle ScholarPubMed
2Haberkamp, TJ, Tanyeri, HM. Management of idiopathic sudden sensorineural hearing loss. Am J Otol 1999;20:587–92Google ScholarPubMed
3Lee, H, Baloh, RW. Sudden deafness in vertebrobasilar ischemia: clinical features, vascular topographical patterns and long-term outcome. J Neurol Sci 2005;228:99104CrossRefGoogle ScholarPubMed
4Williams, D, Wilson, TG. The diagnosis of the major and minor syndromes of basilar insufficiency. Brain 1962;85:741–4CrossRefGoogle ScholarPubMed
5Fisher, CM. Vertigo in cerebrovascular disease. Arch Otolaryngol 1967;85:529–34CrossRefGoogle ScholarPubMed
6Grad, A, Baloh, RW. Vertigo of vascular origin: clinical and electronystagmographic features in 84 cases. Arch Neurol 1989;46:281–4CrossRefGoogle ScholarPubMed
7Hausler, R, Levine, R. Auditory dysfunction in stroke. Acta Otolaryngol 2000;120:689703Google ScholarPubMed
8Lee, H, Sohn, SI, Jung, DK, Cho, YW, Lim, JG, Yi, SD et al. Sudden deafness and anterior inferior cerebellar artery infarction. Stroke 2002;33:2807–12CrossRefGoogle ScholarPubMed
9Oas, JG, Baloh, RW. Vertigo and the anterior inferior cerebellar artery syndrome. Neurology 1992;42:2274–9Google Scholar
10Sunderland, S. The arterial relations of the internal auditory meatus. Brain 1945;68:23–7CrossRefGoogle Scholar
11Mazzoni, A. Internal auditory canal arterial relations at the porus acusticus. Ann Otol Rhinol Laryngol 1969;78:797814CrossRefGoogle ScholarPubMed
12Lee, H. Sudden deafness related to posterior circulation infarction in the territory of the nonanterior inferior cerebellar artery: frequency, origin, and vascular topographical pattern. Eur Neurol 2008;59:302–6CrossRefGoogle ScholarPubMed
13Lee, H. Neuro-otological aspects of cerebellar stroke syndrome. J Clin Neurol 2009;5:6573CrossRefGoogle ScholarPubMed
14Amarenco, P, Lévy, C, Cohen, A, Touboul, PJ, Roullet, E, Bousser, MG. Cause and mechanisms of territorial and nonterritorial cerebellar infarcts in 115 consecutive patients. Stroke 1994;25:105–12Google Scholar
15Rubenstein, RL, Norman, DM, Schindler, RA, Kaseff, L. Cerebellar infarction – a presentation of vertigo. Laryngoscope 1980;90:505–14Google Scholar