scholarly journals Suppression of Tinnitus in a Patient with Unilateral Sudden Hearing Loss: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Alessandra Fioretti ◽  
Giorgia Peri ◽  
Alberto Eibenstein
Keyword(s):  
Hearing Loss ◽  
Cranial Nerves ◽  
Sudden Hearing Loss ◽  
Empty Sella ◽  
Anterior Inferior Cerebellar Artery ◽  
Fitting Procedure ◽  
Patient Reported ◽  
Combination Device ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

We describe a case of a 67-year-old woman with severe disabling right-sided tinnitus, mild hyperacusis, and headache. The tinnitus was associated with sudden right hearing loss and vertigo, which occurred about 18 months before. Magnetic resonance imaging (MRI) resulted in normal anatomical structures of the cochlea and of the cranial nerves showing a partial empty sella syndrome with suprasellar cistern hernia. Angio-MR revealed a bilateral contact between the anterior-inferior cerebellar artery (AICA) and the acoustic-facial nerve with a potential neurovascular conflict. Surgery was considered unnecessary after further evaluations. The right ear was successfully treated with a combination device (hearing aid plus sound generator). Shortly after a standard fitting procedure, the patient reported a reduction of tinnitus, hyperacusis, and headache which completely disappeared at the follow-up evaluation after 3, 6, and 12 months. This paper demonstrates that the combination device resulted in a complete tinnitus and hyperacusis suppression in a patient with unilateral sensorineural sudden hearing loss. Our paper further supports the restoration of peripheral sensory input for the treatment of tinnitus associated with hearing loss in selected patients.

Radical Removal of a Large Glossopharyngeal Neurinoma with Preservation of Cranial Nerve Functions

1993 ◽  
Vol 72 (9) ◽  
pp. 600-611 ◽  
Author(s):  
Ralf Quester ◽  
Jürgen Menzel ◽  
Walter Thumfart
Keyword(s):  
Hearing Loss ◽  
Cranial Nerves ◽  
Vestibular Function ◽  
Jugular Foramen ◽  
Normal Function ◽  
Large Tumor ◽  
History Of ◽  
Radical Removal ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

A 51-year-old man is reported who was suffering from an extensive right-sided glossopharyngeal neurinoma (4.6×3.4 cm). The patient was admitted with a history of headache for six to seven years and vomiting for two years accompanied by a progressive hearing loss, tinnitus and dizziness during the last year. Audiometry indicated a perceptive deafness in the whole frequency range up to 70 dB HL, while electronystagmography (ENG) showed a loss of vestibular function of the right side, but there were no signs of a jugular foramen syndrome. Magnetic resonance imaging (MRI) revealed a large tumor portion in the right cerebello-pontine angle with only a small part in the jugular foramen. The neurinoma was completely removed by microsurgery through a suboccipital approach with preservation of nerves VII–XII. The postoperative course was uneventful and normal function of facial and caudal cranial nerves (Nn IX–XII) were proven by electromyography and magnetic stimulation, with exception of a transitory hypesthesia in the palatine region which completely normalized within a few months. The right-sided hearing loss was unchanged, but vertigo improved. In comparison with literature review the lack of temporary or permanent postoperative dysfunctions of caudal cranial nerves as well as of the facial nerve was extraordinary in the reported case.

Sudden hearing loss in intralabyrinthine haemorrhage in a child

2004 ◽  
Vol 118 (6) ◽  
pp. 450-452 ◽  
Author(s):  
Chul Ho Jang ◽  
Young Ho Kim
Keyword(s):  
Magnetic Resonance Imaging ◽  
Hearing Loss ◽  
Unusual Case ◽  
Previous History ◽  
Sudden Hearing Loss ◽  
Sudden Sensorineural Hearing Loss ◽  
Bleeding Disorders ◽  
Resonance Imaging ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

This paper reports an unusual case in which aseptic meningitis presented with sudden sensorineural hearing loss (SSNHL) associated with intralabyrinthine haemorrhage (ILH). A seven-year-old girl presented with sudden right-sided hearing loss with dizziness. She did not have a previous history of bleeding disorders. This child was assessed using audiograms and magnetic resonance imaging (MRI). The patient's hearing loss was irreversible. Steroid therapy was not effective. SSNHL associated with ILH can be one of the negative prognostic factors in children.

scholarly journals Endoscopic Resection of a Cerebellopontine Angle Meningioma via a Retrosigmoid Approach

2019 ◽  
Vol 80 (S 03) ◽  
pp. S310-S310
Author(s):  
Frederick Luke Hitti ◽  
John Y.K. Lee
Keyword(s):  
Cerebellopontine Angle ◽  
Brain Mri ◽  
Cranial Nerves ◽  
Vascular Supply ◽  
Retrosigmoid Approach ◽  
Tumor Capsule ◽  
Imaging Characteristics ◽  
Adjacent Structures ◽  
Patient Reported ◽  
The Right

A variety of lesions may arise within the cerebellopontine angle (CPA). Schwannomas and meningiomas are most commonly found in this location. Imaging characteristics of meningiomas include hyperdensity on head computed tomography (CT) and avid contrast enhancement on T1-weighted postcontrast magnetic resonance imaging (MRI). Here, we present the case of a 49-year-old woman with enlarging right CPA meningioma. The patient reported mild hearing loss on the right but her neurological exam was otherwise benign. Since the lesion was enlarging and symptomatic, the patient was offered resection of the mass for diagnosis and treatment via an endoscopic retrosigmoid approach. We provide a video that illustrates the steps taken to resect this mass endoscopically. After cerebrospinal fluid (CSF) was drained to achieve brain relaxation, the tumor was visualized. The tumor had a rich vascular supply and had the appearance of a typical meningioma. The bipolar was used to cauterize the tumor's vascular supply. The tumor capsule was then opened with the microscissors. The round knife, suction, and ultrasonic tissue debrider were used to debulk the tumor. After internal debulking of the tumor, the capsule was dissected off the cerebellum and mobilized. A combination of blunt and sharp dissection was done to free the tumor capsule from the adjacent structures. Inferiorly, the lower cranial nerves were visualized. Tissue pathology confirmed a diagnosis of grade I meningioma. A gross total resection was achieved and the patient remained neurologically stable, postoperatively. Furthermore, T1-weighted postcontrast brain MRI, 1 year after surgery, showed no residual.The link to the video can be found at: https://youtu.be/X9c_inLp-So.

Microvascular Decompression in Patient With Atypical Features of Hemifacial Spasm Secondary to Compression by a Tortuous Vertebrobasilar System

Neurosurgery ◽  
2010 ◽  
Vol 66 (6) ◽  
pp. E1212-E1212 ◽  
Author(s):  
David H. Perlmutter ◽  
Anthony L. Petraglia ◽  
Richard Barbano ◽  
Jason M. Schwalb
Keyword(s):  
Hearing Loss ◽  
Botulinum Toxin ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Cranial Nerves ◽  
Vascular Compression ◽  
Vertebrobasilar System ◽  
The Face ◽  
Grade 3 ◽  
The Right

Abstract OBJECTIVE We report a case of hemifacial spasm in a patient who had associated hearing loss, numbness throughout the face, tinnitus, and vertigo, all of which occurred when turning his head to the left. To our knowledge, these symptoms have not occurred in this pattern and with a single trigger. CLINICAL PRESENTATION A 45-year-old man presented with a 3-year history of right-sided hemifacial spasm initially treated with botulinum toxin. One month before presentation, he had an episode of acute hearing loss in the right ear when turning his head to the left, followed by multiple episodes of transient hearing loss in his right ear, numbness in his right face in all distributions of the trigeminal nerve, tinnitus, and vertigo. He was found to have decreased sensation in nerves V1 to V3 and House-Brackmann grade 3/6 weakness in his right face, despite not having botulinum toxin injections in more than a year. Magnetic resonance imaging/angiography showed an ectatic vertebrobasilar system causing compression of the fifth, seventh, and eighth cranial nerves. INTERVENTION The patient underwent a retromastoid craniotomy and microvascular decompression. Postoperatively, he had complete resolution of his symptoms except for his facial weakness. The benefit has been long-lasting. CONCLUSION Multiple, simultaneous cranial neuropathies from vascular compression are rare, but this case is an example of safe and effective treatment with microvascular decompression with durable results.

scholarly journals Intractable Trigeminal Neuralgia Secondary to Osteoma of the Clivus: A Case Report and Literature Review

2022 ◽  
Author(s):  
Ebtesam Abdulla ◽  
Krishna Das ◽  
Joseph Ravindra ◽  
Tejal Shah ◽  
Sara George
Keyword(s):  
Trigeminal Neuralgia ◽  
Pressure Effect ◽  
Benign Tumors ◽  
Radiographic Images ◽  
Patient Reported ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Slow Growing ◽  
Serial Observation

AbstractSkull base osteomas (SBOs) are benign tumors that are frequently detected on radiographic images by coincidence. They are known for being slow-growing tumors and rarely symptomatic. The therapeutic approach for SBOs can differ substantially. Depending on the symptoms, size, and location of the tumor, this can range from serial observation to vigorous surgical extirpation. Clival osteoma is extremely rare. We report a case of clival osteoma, causing intractable trigeminal neuralgia due to the pressure effect on the trigeminal nerve at Meckel's cave. We also provide a review of pertinent literature. A 37-year-old woman presented with intractable trigeminal neuralgia. Cranial magnetic resonance imaging (MRI) demonstrated a large, lobulated, extra-axial lesion involving the right cerebellopontine angle and epicentering the clivus. Pathologically, the specimen was proven to be osteoma. The patient reported complete symptom resolution over a 4-year follow-up period. To the best of the authors' knowledge, this is the first clinical case of intractable trigeminal neuralgia due to clival osteoma.

scholarly journals A Forty Five Years Female Patient with Sclerosteosis

1970 ◽  
Vol 11 (2) ◽  
pp. 207-211
Author(s):  
Shamim Ahmed ◽  
Md Abdul Kader ◽  
Quazi Mamtaz Uddin Ahmed ◽  
Abu Shahin ◽  
Md Abul Kalam Azad ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Autosomal Recessive ◽  
Facial Nerve Palsy ◽  
Cranial Nerves ◽  
Autosomal Recessive Disorder ◽  
Final Diagnosis ◽  
Radiological Findings ◽  
The Face ◽  
Van Buchem Disease ◽  
The Right

Sclerosteosis is a rare autosomal recessive disorder, characterized by progressive, generalized bony overgrowth of thecalvarium and mandible with cranial nerve entrapment and raised intracranial pressure, and abnormalities of thedigits. Due to narrowing of the foramina of the cranial nerves, facial nerve palsy, hearing loss and atrophy of the opticnerves can occur. It is clinically and radiologically very similar to van Buchem disease, both of which shows generalizedhyperostosis and sclerosis leading to a markedly thickened and sclerotic skull, with mandible, ribs, clavicles and alsolong bones. Van Buchem disease is differentiated from sclerosteosis by the absence of hand malformations and alarge stature. Here we describe a case of a 45 years-old-female presented with progressive enlargement of right sideof mandible, continuous pain in the right side of the face, right sided lower motor type of facial palsy, bilateral sensoryneural type of hearing loss along with polydactyly and syndactyly. The final diagnosis of sclerosteosis was made byclinical features and radiological findings and exclusion of other causes of hyperosteosis. The particular interest of thispaper is to present a case of sclerosteosis, and to demonstrate the differences between that entity and other sclerosingdiseases of bone.Keywords: Sclerosteosis; van Buchem disease; HyperosteosisDOI: 10.3329/jom.v11i2.5477J MEDICINE 2010; 11 : 207-211

Sudden Hearing Loss Due to Anterior Inferior Cerebellar Artery Infarction

2017 ◽  
Vol 38 (2) ◽  
pp. e3-e4
Author(s):  
Yukihide Maeda ◽  
Ryo Sasaki ◽  
Yujin Sawaki ◽  
Kota Sato ◽  
Yasuyuki Ohta ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Sudden Hearing Loss ◽  
Anterior Inferior Cerebellar Artery ◽  
Cerebellar Artery

Bilateral Reversible Deafness after Surgery for Unilateral Epidermoid Tumor: An Unusual Complication: Case Report

Neurosurgery ◽  
2005 ◽  
Vol 56 (4) ◽  
pp. E870-E870 ◽  
Author(s):  
Mustafa Efkan Colpan ◽  
Zeki Sekerci ◽  
Caglar Berk
Keyword(s):  
Hearing Loss ◽  
Cranial Nerves ◽  
Auditory Evoked Potential ◽  
Unusual Complication ◽  
Bilateral Hearing Loss ◽  
Epidermoid Tumor ◽  
Suboccipital Craniectomy ◽  
Sensorineural Hearing Impairment ◽  
Surgical Field ◽  
The Right

Abstract OBJECTIVE AND IMPORTANCE: We present an unusual complication of bilateral hearing loss after surgery for unilateral epidermoid tumor situated at the right pontocerebellar junction. The neurosurgeon must know the possible causes of this catastrophic complication and should take every possible measure to avoid it. CLINICAL PRESENTATION: A 43-year-old male patient presented with progressive hearing loss in the right ear. A radiological examination demonstrated a mass lesion at the right pontocerebellar junction. A pure tone audiogram revealed sensorineural hearing impairment of the right ear. A brainstem auditory evoked potential test confirmed this with reduced amplitudes and a prolonged I–V interval. INTERVENTION: The patient was operated on via a right paramedian suboccipital craniectomy. The tumor was completely excised, and all of the cranial nerves were preserved during the operation. Postoperatively, the patient developed total bilateral hearing loss, which improved significantly over time. CONCLUSION: Controlled cerebrospinal fluid drainage during exposure and tumor excision may reduce the possibility of shift and traction on the neural structures and help to prevent ischemic injury. Frequent irrigation of the surgical field and minimizing the spilling of the tumor contents may reduce the risk of chemical irritation. The use of corticosteroids may also help during the postoperative period.

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