Cerebral infarction presenting as sudden sensorineural hearing loss and vertigo - A case report

Naoki Oishi, Satoshi Takei

Research output: Contribution to journalArticle

Abstract

A 54-year-old man transferred to our emergency department due to sudden vertigo and left-side hearing impairment lasting several hours was found in clinical examination and audiovestibular tests to have profound sensorineural hearing loss and spontaneous right horizontal rotatory nystagmus. He had no other neurological deficits and was given intravenous steroids. On day 4, he reported mild numbness in the right hand. MRI showed infarctions in the left pons (basilar artery region) and in the left middle cerebellar penduncle (AICA region). These were followed by a right Babinski reflex, gait ataxia, and delayed left-sided facial palsy with newly left horizontal rotatory nystagmus. Antiplatelet agents and anticoagulation therapy were begun. He recovered completely except for the profound hearing loss.

Original languageEnglish
Pages (from-to)26-31
Number of pages6
JournalOto-Rhino-Laryngology Tokyo
Volume48
Issue number5
Publication statusPublished - 2005 Oct
Externally publishedYes

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Keywords

  • AICA
  • Cerebral infarction
  • Hearing loss
  • MRI
  • Vertigo

ASJC Scopus subject areas

  • Otorhinolaryngology

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