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2 results

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

  • E J Lee, Y J Yoon
  • Journal:
    The Journal of Laryngology & Otology / Volume 128 / Issue 11 / November 2014
    Published online by Cambridge University Press:
    02 October 2014, pp. 1011-1014
    Print publication:
    November 2014
  • 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.

  • Post-irradiation sudden deafness

  • Yi-Ho Young, Pei-Jen Lou
  • Journal:
    The Journal of Laryngology & Otology / Volume 113 / Issue 9 / September 1999
    Published online by Cambridge University Press:
    29 June 2007, pp. 815-817
    Print publication:
    September 1999

  • As in radiation-induced cancer, post-irradiation sudden deafness (PISD) is defined as sudden onset deafness in patients post-irradiation. Fifteen nasopharyngeal carcinoma (NPC) patients with PISD were enrolled in this study. The mean interval from the completion of irradiation to the occurrence of PISD was 12 years. Seven had total deafness, seven had profound hearing loss, and one had moderate hearing loss. Nine out of 15 (60 per cent) patients experienced hearing recovery within three months after treatment. In conclusion, PISD is a late complication in NPC patients post-irradiation. The causative mechanism is theorized as vascular insufficiency.