Sudden Hearing Loss and Vertigo With Silent Pontine Infarction: A Case Report
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Most cases of sudden sensorineural hearing loss (SSNHL) occur without a specific identifiable cause, although vascular factors may serve as potential etiological contributors. Silent infarction refers to ischemic changes observed on imaging studies without accompanying clinical symptoms; however, this condition is clinically significant owing to the increased risk of future stroke. We report a case of left-sided SSNHL accompanied by dizziness in a 62-year-old male patient who was diagnosed with left pontine infarction without any other neurological symptoms. The cochlea and pons receive blood supply from the anterior inferior cerebellar artery; the cochlea lacks collateral vessels and is therefore susceptible to fluctuations in blood flow. This case report provides evidence to support the vascular hypothesis as the etiology underlying SSNHL
Abstract
Most cases of sudden sensorineural hearing loss (SSNHL) occur without a specific identifiable cause, although vascular factors may serve as potential etiological contributors. Silent infarction refers to ischemic changes observed on imaging studies without accompanying clinical symptoms; however, this condition is clinically significant owing to the increased risk of future stroke. We report a case of left-sided SSNHL accompanied by dizziness in a 62-year-old male patient who was diagnosed with left pontine infarction without any other neurological symptoms. The cochlea and pons receive blood supply from the anterior inferior cerebellar artery; the cochlea lacks collateral vessels and is therefore susceptible to fluctuations in blood flow. This case report provides evidence to support the vascular hypothesis as the etiology underlying SSNHL
참고문헌 (15)
- Schuknecht HF, "Pathology of the ear", pp.273~ (1993), Lea & Febiger
- Stachler RJ, "Clinical practice guideline : sudden hearing loss", Otolaryngol Head Neck Surg, 146(3 Suppl), pp.S1~S35 (2012)
- Calvert P, "Silent cerebral lesions following catheter ablation for atrial fibrillation : a state-of-the-art review", Europace, 25, pp.euad151~ (2023)
- González RG, "Diffusion-weighted MR imaging : diagnostic accuracy in patients imaged within 6 hours of stroke symptom onset", Radiology, 210, pp.155~162 (1999)
- Gupta A, "Silent brain infarction and risk of future stroke : a systematic review and meta-analysis", Stroke, 47, pp.719~725 (2016)
- Deplanque D, "Sudden bilateral deafness : lateral inferior pontine infarction", J Neurol Neurosurg Psychiatry, 64, pp.817~818 (1998)
- Takeuchi S, "Prognostic factors in patients with primary brainstem hemorrhage", Clin Neurol Neurosurg, 115, pp.732~735 (2013)
- Byun H, "Clinical implications of posterior semicircular canal function in idiopathic sudden sensorineural hearing loss", Sci Rep, 10, pp.8313~ (2020)
- Lee H, "Sudden deafness in vertebrobasilar ischemia : clinical features, vascular topographical patterns and long-term outcome", J Neurol Sci, 228, pp.99~104 (2005)
- Doyle KJ, "Audiologic findings in unilateral deafness resulting from contralateral pontine infarct", Otolaryngol Head Neck Surg, 114, pp.482~486 (1996)
- Muttikkal TJ, "Isolated contralateral sudden sensorineural hearing loss : an unusual manifestation of pontine infarct", Neuroradiol J, 27, pp.483~486 (2014)
- 문석균, "급성 뇌교 경색으로 인해 발생된 돌발성 난청 2예", 대한이비인후-두경부외과학회지, 51(7), pp.650~654 (2008), 대한이비인후과학회
- Bovo R, "Bilateral sudden profound hearing loss and vertigo as a unique manifestation of bilateral symmetric inferior pontine infarctions", Ann Otol Rhinol Laryngol, 116, pp.407~410 (2007)
- Boehme AK, "Stroke risk factors, genetics, and prevention", Circ Res, 120, pp.472~495 (2017)
- 정승현, "A Case of Auditory Neuropathy Caused by Pontine Hemorrhage in an Adult", Journal of Audiology & Otology, 21(2), pp.106~111 (2017), 대한청각학회
