Sudden Deafness Concurrent with Ipsilateral Benign Paroxysmal Positional Vertigo
- Author:
Youn Ho KIM
1
;
Dong Kuck LEE
;
Jung Im SEOK
Author Information
1. Department of Neurology, The Catholic University of Daegu School of Medicine, Daegu, Korea. dklee@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Sudden deafness;
Benign paroxysmal positional vertigo
- MeSH:
Aged, 80 and over;
Brain;
Deafness;
Dexamethasone;
Ear;
Ear, Inner;
Female;
Head;
Hearing Loss;
Hearing Loss, Sudden;
Humans;
Hypertension;
Methylprednisolone;
Neurologic Examination;
Nystagmus, Physiologic;
Otolithic Membrane;
Tinnitus;
Vertigo;
Vestibular Function Tests
- From:Journal of the Korean Balance Society
2011;10(2):74-76
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Benign paroxysmal positional vertigo (BPPV) is a disorder caused by otoconia in the inner ear. Its symptoms are repeated episodes of positional vertigo, that is, of a spinning sensation caused by changes in the position of the head. BPPV with simultaneous ipsilateral sudden deafness is rare. A 82-year-old woman was admitted due to acute onset of right ear hearing impairment, tinnitus, and vertigo for a day. She had a history of hypertension for 5 years. On neurologic examination, spontaneous nystagmus was not observed. However, roll test showed direction-changing horizontal geotrophic nystagmus. Vestibular function test showed positional nystagmus compactable with right horizontal semicircular canal-BPPV (canalolithiasis). Brain MRI was unremarkable. Neuro-otologic evaluation reveals right ear sensorineural deafness. Barbecue maneuver was applied for treatment for BPPV. Dexamethasone 10 mg intravenous for 5 days after then methylprednisolone orally for 5 days was done. Vertigo improved after treatment, but deafness still remain. We report a case of sudden deafness concurrent with ipsilateral BPPV and consider the mechanisms of this lesion.
