scholarly journals Resolution of giant basilar artery aneurysm compression and reversal of sensorineural hearing loss with use of a flow diverter: case report

2017 ◽  
Vol 20 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Laila M. Mohammad ◽  
Alexander L. Coon ◽  
Andrew P. Carlson
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Basilar Artery ◽  
Clinical Symptoms ◽  
Artery Aneurysm ◽  
Flow Diverter ◽  
Sensorineural Hearing ◽  
Basilar Artery Aneurysm ◽  
Posterior Circulation Aneurysms ◽  
Flow Diverting Stent

The authors present an unusual case of a 15-year-old boy in whom sensorineural hearing loss and disequilibrium developed in the setting of a giant basilar artery aneurysm. This patient was treated with a flow-diverting stent and had complete resolution of his clinical symptoms including hearing loss. This case demonstrates the efficacy of flow diversion in select pediatric patients with posterior circulation aneurysms. The features that are thought to result in successful treatment are discussed.

scholarly journals Dissecting basilar artery aneurysm manifesting as sudden sensorineural hearing loss: a case report and literature review

2019 ◽  
Vol 47 (11) ◽  
pp. 5844-5848
Author(s):  
Yi-zhi Zhang ◽  
Qiu-hui Chen ◽  
Zhan-chuan Liu ◽  
Ying Zhang ◽  
Yan-qiu Han ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Literature Review ◽  
Sensorineural Hearing Loss ◽  
Basilar Artery ◽  
Artery Aneurysm ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
First Case ◽  
Basilar Artery Aneurysm

Highlights • Dissecting basilar artery aneurysm (DBAA) is relatively rare. • We report the first case of a DBAA manifesting as sudden sensorineural hearing loss. • This case report adds to the symptom spectrum of DBAA.

A Case of Vertebra-basilar Artery Occlusion with Vertigo and Acute Sensorineural Hearing Loss

2018 ◽  
Vol 152 (0) ◽  
pp. 2-3
Author(s):  
Tessei Kuruma ◽  
Tohru Tanigawa ◽  
Yasue Uchida ◽  
Tetsuya Ogawa ◽  
Hiromi Ueda
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Basilar Artery ◽  
Artery Occlusion ◽  
Sensorineural Hearing ◽  
Basilar Artery Occlusion

scholarly journals Incomplete Wolfram syndrome. Clinical case report

2019 ◽  
Vol 65 (1) ◽  
pp. 46-49
Author(s):  
Oleg A. Dianov ◽  
Ekaterina A. Lavrova ◽  
Vadim V. Maltcev ◽  
Darina A. Oleynik
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Clinical Case ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Wolfram Syndrome ◽  
Sensorineural Hearing ◽  
First Year ◽  
Disease Manifestation

We describe clinical presentation of Wolfram syndrome and follow-up data in a child. Diagnostics of Wolfram syndrome takes time because clinical symptoms develop not at the time of disease manifestation, but usually several years later. The sequence of manifestations also varies. According to the literature, sensorineural hearing loss occurs in the 2nd decade, and bladder atony develops only by the 3rd decade. In the presented case, initial manifestations of bladder innervation disorders in the form of its dysfunction developed as early as the first year, and sensorineural hearing loss formed by the 4th year of the disease. As in other studies, the patient developed optic disc atrophy within the first year after diabetes onset. This clinical case confirms variability in the clinical symptoms of Wolfram syndrome. The sequence in which the disease picture develops (in this case, there was an incomplete form of syndrome the absence of diabetes insipidus) does not always coincide with the classic course of syndrome, which complicates timely diagnosis.

scholarly journals A Rare Case of Vertebrobasilar Dolichoectasia Presenting with Ipsilateral Facial Paresis and Concomitant Severe Sensorineural Hearing Loss

2014 ◽  
Vol 29 (1) ◽  
pp. 20-22
Author(s):  
Mee Ling Tang ◽  
Govindaraju Revadi ◽  
Raman Rajagopalan ◽  
Sushil Brito-Mutunayagam
Keyword(s):  
Hearing Loss ◽  
Facial Nerve ◽  
Sensorineural Hearing Loss ◽  
Basilar Artery ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Sensorineural Hearing ◽  
Prior History ◽  
Vertebrobasilar Dolichoectasia ◽  
Nerve Paresis

Objective: To report a case of vertebrobasilar dolichoectasia presenting with ipsilateral facial nerve paresis and concomitant severe sensorineural hearing loss.   Methods:                Design: Case Report                Setting: Secondary Government Hospital                Patient: One   Results:  We report a case of vertebrobasilar dolichoectasia with concomitant ipsilateral facial nerve paresis and severe sensorineural hearing loss in an elderly female.  She presented to us with left facial nerve palsy House-Brackmann Grade III with prior history of ipsilateral sensorineural hearing loss.  MRI of the brain showed normal inner ear structures, but revealed a dilated and tortuous basilar artery with compression on the left medulla and possible branches of anterior inferior cerebellar artery as it coursed superiorly, and possible partial thrombosis of proximal basilar artery.    Conclusion:  Concommitant facial nerve paresis and sensorineural hearing loss can be the clinical presentations of this rare but important condition.  MRI is vital in diagnosing vertebrobasilar dolichoectasia.   Keywords: Vertebrobasilar dolichoectasia, facial nerve palsy, sensorineural hearing loss, basilar artery

scholarly journals Basilar artery occlusion presenting as sudden bilateral deafness: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tomoya Kinouchi ◽  
Keisuke Ishitani ◽  
Shinichi Uyama ◽  
Tadashi Miyamoto ◽  
Naomi Fujimoto ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Basilar Artery ◽  
Artery Occlusion ◽  
Sensorineural Hearing ◽  
Basilar Artery Occlusion ◽  
Vertebrobasilar Artery ◽  
Bilateral Sensorineural Hearing Loss ◽  
Bilateral Deafness

Abstract Background Most sudden-onset hearing loss is due to otolaryngologic- and very rarely to cerebrovascular disease. We report a woman with sudden bilateral sensorineural hearing loss. This case suggests that even in the absence of brainstem or cerebellar signs, magnetic resonance imaging (MRI) and MR angiography (MRA) should be performed since such studies may reveal signs of life-threatening vertebrobasilar artery occlusion. Case presentation A 73-year-old Japanese woman with a history of hypertension, hyperlipidemia, and atrial fibrillation who suffered bilateral deafness with vertigo and vomiting was transferred from a local hospital to our department. On admission her consciousness was clear and vertigo was absent. Neurological examination revealed only bilateral sensorineural hearing loss. Head computed tomography (CT) returned no significant findings. The next morning she gradually developed severe drowsiness. Diffusion-weighted MRI demonstrated acute cerebral infarction in the brainstem and bilateral cerebellum; MRA showed basilar artery occlusion due to a cardioembolic thrombus. Revascularization was obtained by endovascular treatment. However, her condition worsened progressively during the following hours. CT revealed new brainstem lesions, massive cerebellar swelling, and obstructive hydrocephalus. She died on the second day after her admission. Conclusions When hearing loss is due to vertebrobasilar occlusive disease, the prognosis is very poor. We suggest that vertebrobasilar stroke be suspected in patients with bilateral sensorineural hearing loss who present with risk factors for stroke such as atrial fibrillation and other neurologic signs.

A Case of Vertebra-basilar Artery Occlusion with Vertigo and Acute Sensorineural Hearing Loss

2017 ◽  
Vol 110 (7) ◽  
pp. 445-449
Author(s):  
Tessei Kuruma ◽  
Tohru Tanigawa ◽  
Yasue Uchida ◽  
Tetsuya Ogawa ◽  
Hiromi Ueda
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Basilar Artery ◽  
Artery Occlusion ◽  
Sensorineural Hearing ◽  
Basilar Artery Occlusion

scholarly journals Right Vertebral Artery Aneurysm Manifesting as Sensorineural Hearing Loss.

1997 ◽  
Vol 90 (9) ◽  
pp. 993-998
Author(s):  
Hirofumi MAEHARA ◽  
Yoshihiro NOGUCHI ◽  
Hidetoshi HARAGUCHI ◽  
Takeshi TSUTSUMI ◽  
Hiroaki NISHIDA ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Vertebral Artery ◽  
Artery Aneurysm ◽  
Sensorineural Hearing

scholarly journals The Correlation of Clinical Features and Endolymphatic Hydrops Visualized by 3D-Real IR MRI in Children With Sudden Sensorineural Hearing Loss

2021 ◽  
pp. 014556132110094
Author(s):  
Wei Chen ◽  
Yue Geng ◽  
Siqi Luo ◽  
Naier Lin ◽  
Yan Sha
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Clinical Features ◽  
Clinical Symptoms ◽  
Age Of Onset ◽  
Endolymphatic Hydrops ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
3 Dimensional ◽  
Long Term Follow Up

Objectives: To investigate the correlation between clinical features and endolymphatic hydrops (EH) in children with sudden sensorineural hearing loss (SSNHL). Methods: We collected 30 SSNHL children aged ≤17 years old, all of whom underwent intravenous gadolinium injection. After 4 hours, inner ear 3-dimensional inversion recovery sequence with real reconstruction (3D-real IR) magnetic resonance imaging was performed. Combined with their medical history such as gender, age, disease course, hearing loss, and so on, the results were analyzed. Results: Different degrees of EH were shown in the vestibule or different turns of cochlea in the affected ears of SSNHL children, and 12 (40%) of 30 children showed positive EH. Age, low and middle frequency hearing loss, and other clinical symptoms such as dizziness and ear fullness have been shown to be related to a certain degree of EH in vestibule or cochlea, whereas no relationship was found between EH and other clinical features such as high-frequency hearing loss, gender, affected side, and tinnitus. Conclusions: Endolymphatic hydrops may not reflect the trend of disease progression over time in children with SSNHL, but the age of onset may be an important factor in the presence or absence of EH. Endolymphatic hydrops may be one of the causes of dizziness and ear fullness but has no obvious connection with the occurrence of tinnitus. Older SSNHL children with dizziness and ear fullness should maintain long-term follow-up to dynamically monitor the changes in EH.

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