Vertebrobasilar Occlusion Initially Presenting with Sudden Bilateral Hearing Loss with Vertigo.
- Author:
Sun Ah PARK
1
;
Byung June AHN
;
Shi Chan KIM
;
Kwang Ik YANG
;
Tae Kyeong LEE
;
Moo Young AHN
;
Ki Bum SUNG
Author Information
1. Department of Neurology, Soonchunhyang University College of Medicine, Bucheon, Korea. sapark@schbc.ac.kr
- Publication Type:Case Report
- Keywords:
Audiometry;
Deafness;
Vertebrobasilar insufficiency
- MeSH:
Ataxia;
Audiometry;
Brain;
Cerebellum;
Cerebral Angiography;
Collateral Circulation;
Deafness;
Deglutition Disorders;
Dysarthria;
Hearing Loss;
Hearing Loss, Bilateral*;
Hearing Loss, Sensorineural;
Hearing Loss, Sudden;
Humans;
Infarction;
Length of Stay;
Magnetic Resonance Imaging;
Middle Aged;
Neurologic Manifestations;
Occipital Lobe;
Pons;
Vertebrobasilar Insufficiency;
Vertigo*
- From:Journal of the Korean Neurological Association
2005;23(1):96-99
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 57-year-old man complained of sudden hearing loss and vertigo as sole initial symptoms. Pure tone audiometry revealed severe bilateral sensorineural hearing loss. Brain MRI demonstrated multiple scattered small acute infarctions in the bilateral thalami, occipital lobe, cerebellum and ventral upper pons, however, none in the level of vestibulocochlear nuclei. Cerebral angiography revealed vertebrobasilar occlusion with collateral circulation. On the seventh day of the patient's hospital stay, he developed dysarthria, dysphagia and ataxia. Five months later, his hearing loss persisted, but other neurologic deficits improved substantially.
