Positional Vertigo Ensuing From Abrupt Onset of Hearing Loss in a Patient Diagnosed With Anterior Inferior Cerebellar Artery Infarction

Authors

  • Chih- Ming Lin

Keywords:

anterior inferior cerbellar artery infarction cerebral magnetic resonance imaging sensorineural type hearing impairment magnetic resonance angiography

Abstract

We reported a case of anterior inferior cerbellar artery infarction initially manifesting with positional vertigo ensuing from abrupt onset of hearing loss. A 56-year-old Taiwanese man suffering from controlled hypertension visited a local hospital because of a "rocking sensation." He was referred to the ear, nose, and throat (ENT) department for evaluation and was diagnosed with peripheral vertigo associated with positional change. Symptomatic treatment was administered, but produced a limited effect. He was then transferred to our hospital and was admitted to ENT services. The symptom was aggravated when the patient turned his head to either side or bent his neck forward. Two days after admission, he suffered from abrupt onset of hearing loss in the left ear. A neurologist was consulted. Neurological and physical examinations revealed unremarkable findings, except for sensorineural type hearing impairment in the left ear.

How to Cite

Positional Vertigo Ensuing From Abrupt Onset of Hearing Loss in a Patient Diagnosed With Anterior Inferior Cerebellar Artery Infarction. (2014). Global Journal of Medical Research, 14(15), 13-16. https://medicalresearchjournal.org/index.php/GJMR/article/view/

References

Ashok PP, Radhakrishman K, Sridharan R, El- MA (1986) Incidence and pattern of cerebrovascular diseases in Benghazi, Libya. 49, 517-523.

Sonan-Douayoua T, Yapo P, Assi B, Akani F, Cowpli-Boni P, Aka-Diarra E (2004) Les infarctus cérébraux de petite taille en Cote d'Ivoire: étude rétrospective clinique et scannographique de 113 cas. 23, 1-3.

D. Leys (2003) Les accidents ischémiques cérébraux du sujet jeune Rev Med. 24(9), 585-593. https://doi.org/10.1016/s0248-8663(03)00071-7

S. Eid (2002) Hereditary deficiencies of antithrombin III, protein C, protein S pathway in Jordanian thrombosis patients. 15, 196-199.

Chen WH, Lan MY, Chang YY, Chen SS, Liu JS (2003) The Prevalence of Protein C, Protein S, and Antithrombin III Deficiency in non-APS/SLE Chinese Adults with Noncardiac Cerebral Ischemia. 9, 155-162.

S. Protein (2003) Protein S and ischemic brain disease. 60, 28-31.

Haapaniemi E, Tatlisumak T, Soinne L, Syrjala M, Kaste M (2002) Natural anticoagulant (antithrombin III, protein S and protein C) in patients with mild to moderate ischemic stroke. 105, 107-14.

Olah L, Misz M, Kappelmayer J, Ajzner E, Csepany T, Fekete I (2001) Natural coagulation inhibitor proteins in young patients with cerebral ischemia. 12, 291-7.

Sho Kanzaki, Takafumi Suzuki, Shigeaki Suzuki, Norihiro Suzuki, Kaoru Ogawa (2013) Sudden Onset Hearing Loss and Vertigo Just Before Posterior Inferior Cerebellar Artery Infarction (Lateral Medulla Syndrome). 34(2), e6-e7. https://doi.org/10.1097/mao.0b013e31826dba43

Tomoko Ikegami-Takada, Masahiko Izumikawa, Tadashi Doi, Yohei Takada, Koichi Tomoda (2012) AICA syndrome with facial palsy following vertigo and acute sensorineural hearing loss. 39(2), 244-248. https://doi.org/10.1016/j.anl.2011.07.015

F. Martines, F. Dispenza, C. Gagliardo, E. Martines, D. Bentivegna (2011) Sudden sensorineural hearing loss as prodromal symptom of anterior inferior cerebellar artery infarction. 73(3), 137-140. https://doi.org/10.1159/-000327523

J. Park, H. Kim, H. Han (2008) Recurrent audiovestibular disturbance initially mimicking Ménière's disease in a patient with anterior inferior cerebellar infarction. https://doi.org/10.1007/s10072-008-0996-0

Hyung Lee (2008) Sudden Deafness Related to Posterior Circulation Infarction in the Territory of the Nonanterior Inferior Cerebellar Artery: Frequency, Origin, and Vascular Topographical Pattern. 59(6), 302-306. https://doi.org/10.1159/000121421

Murakami T, Nakayasu H, Doi M, Fukada Y, Hayashi M, Suzuki T, Takeuchi Y, Nakashima K (2006) Anterior and posterior inferior cerebellar artery infarction with sudden deafness and vertigo. 13(10), 1051-4.

Hyung Lee, Robert Baloh (2004) Sudden deafness in vertebrobasilar ischemia: clinical features, vascular topographical patterns and long-term outcome. 228(1), 99-104. https://doi.org/10.1016/j.jns.2004.10.016

H. Lee, B. Ahn, R. Baloh (2004) Sudden deafness with vertigo as a sole manifestation of anterior inferior cerebellar artery infarction. 222(1-2), 105-107.

Lee H, Sohn SI, Jung DK, Cho YW, Lim JG, Yi SD, Lee SR, Sohn CH, Baloh RW (2002) Sudden deafness and anterior inferior cerebellar artery infarction. 33(12), 2807-12.

inferior artery (1990) CEREBELLAR INFARCTION IN THE TERRITORY OF THE ANTERIOR AND INFERIOR CEREBELLAR ARTERY. 113(Pt 1), 139-155.

Richard Gacek (2013) A Perspective on Recurrent Vertigo. 75(2), 91-107. https://doi.org/10.1159/000348710

D. Zhang, S. Zhang, H. Zhang, Y. Xu, S. Fu, M. Yu, P. Ji (2013) Evaluation of vertebrobasilar artery changes in patients with benign paroxysmal positional vertigo. 24(13), 741-745. https://doi.org/10.1097/wnr.0b013e328364b948

Positional Vertigo Ensuing From Abrupt Onset of Hearing Loss in a Patient Diagnosed With Anterior Inferior Cerebellar Artery Infarction

Published

2014-04-07

How to Cite

Positional Vertigo Ensuing From Abrupt Onset of Hearing Loss in a Patient Diagnosed With Anterior Inferior Cerebellar Artery Infarction. (2014). Global Journal of Medical Research, 14(15), 13-16. https://medicalresearchjournal.org/index.php/GJMR/article/view/