scholarly journals A Case of Bilateral Hearing Loss

2020 ◽  
Vol 4 (4) ◽  
pp. 626-627
Author(s):  
Boris Ryabtsev ◽  
Matthew Slane

Case Presentation: A 53-year-old male presented to the emergency department with acute onset of bilateral hearing loss as well as vertigo and severe vomiting. The Head Impulse– Nystagmus–Test of Skew exam was indicative of a central neurologic process. Computed tomography angiogram of the head and neck revealed near-total bilateral vertebral artery occlusions in the second and third segments. The patient was admitted for further evaluation; subsequent magnetic resonance imaging revealed multiple areas of infarction in the cerebellar hemispheres, medulla, and occipital lobes. Discussion: This case describes a unique presentation of a posterior stroke. Common symptoms include vertigo, loss of balance, and vomiting. However, bilateral hearing loss as a prominent symptom is uncommon. Imaging revealed a rare finding of bilateral vertebral artery occlusion.

Nosotchu ◽  
1992 ◽  
Vol 14 (2) ◽  
pp. 211-218
Author(s):  
Tetsuhiro Maruyama ◽  
Ken-ichi Tabata ◽  
Kiyohiko Kondo ◽  
Nobuo Yanagisawa

Medicina ◽  
2013 ◽  
Vol 49 (1) ◽  
pp. 3
Author(s):  
Goda Randakevičienė ◽  
Rymantė Gleiznienė ◽  
Rūta Nylander

Susac’s syndrome is an uncommon neurologic disorder, consisting of the clinical triad of encephalopathy, branch retinal artery occlusions, and hearing loss. We report a case of a sudden vision and hearing impairment in a 35-year-old female patient. Magnetic resonance imaging of the brain revealed multiple lesions in the white matter and the corpus callosum, typical of Susac’s syndrome.


2019 ◽  
Vol 08 (04) ◽  
pp. 233-237
Author(s):  
Binh Phung ◽  
Trusha Shah

AbstractVertebral artery dissection (VAD) followed by basilar artery occlusion/stroke (BAO/BAS) is a rare but potentially life-threatening complication. We present a case report of a 7-year-old boy with VAD complicated by BAO/BAS 4 days after falling off a scooter. Symptoms included left-sided weakness and facial droop preceded by a 20-minute episode of altered sensorium. Magnetic resonance imaging showed ischemic changes in the left posterior inferior cerebellum and right pons. Computed tomography angiogram confirmed dissection of the left vertebral artery with occlusion/thrombosis of the basilar artery. Heparinization for 96 hours, followed by 6 months of low-molecular weight heparin injection, resulted in improvement of his neurological symptoms.


2012 ◽  
Vol 114 (9) ◽  
pp. 1266-1269 ◽  
Author(s):  
Koichi Shibata ◽  
Kazuhiro Matsui ◽  
Hiroyuki Ito ◽  
Eiichi Ito ◽  
Yoshiko Nishimura ◽  
...  

2019 ◽  
Vol 267 (1) ◽  
pp. 285-287
Author(s):  
Gülden Akdal ◽  
Pınar Özçelik ◽  
Günay Kirkim ◽  
Özgecan Kaya ◽  
Süleyman Men ◽  
...  

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Qian Zhang ◽  
Jian Li

Abstract Background We describe for the first time the clinical features and mechanisms of a bilateral dorsomedial pons and left thalamus infarction with seesaw nystagmus and internuclear ophthalmoplegia. Case presentation A 62-year-old Chinese man was hospitalized for sudden-onset dizziness, diplopia, and gait disturbance. A neurological examination revealed seesaw nystagmus and internuclear ophthalmoplegia. Magnetic resonance imaging disclosed an acute infarction confined to the bilateral dorsomedial pons and left thalamus. Subsequently, 2 weeks of antithrombotic therapy led to an improvement in his symptoms. Conclusions This case illustrates that the acute onset of seesaw nystagmus and internuclear ophthalmoplegia accompanied by risk factors for cerebrovascular diseases are highly suggestive of brainstem infarction.


Medicine ◽  
2019 ◽  
Vol 98 (34) ◽  
pp. e16902
Author(s):  
Masashi Hoshino ◽  
Hisanao Akiyama ◽  
Satoru Kashima ◽  
Kaima Soga ◽  
Takahiro Shimizu ◽  
...  

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