A Case of Medullary Infarction Presented Initial Symptoms Similar to Meniere’s Disease
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Fluctuating hearing loss and vertigo are the typical presentations of Meniere’s disease. However,it is unusual that fluctuating hearing loss and vertigo are caused by vertebral artery occlusionor cerebral infarction. Here, we described the case of a 54-year-old male patient withhypertension and diabetes mellitus who presented with fluctuating hearing loss in his leftear and severe whirling-type dizziness without associated neurological signs or symptoms. Temporal magnetic resonance imaging (MRI) was normal. He was diagnosed with a possibleMeniere’s disease and started conservative treatment. Eight years later, the patient developeddysarthria and left-side weakness. Brain MRI revealed right anterior medullary infarction,and cerebral angiography showed occlusion of the right vertebral artery. In thiscase, we attempted to review the initial imaging study and reported the characteristics ofthe case.
Abstract
Fluctuating hearing loss and vertigo are the typical presentations of Meniere’s disease. However,it is unusual that fluctuating hearing loss and vertigo are caused by vertebral artery occlusionor cerebral infarction. Here, we described the case of a 54-year-old male patient withhypertension and diabetes mellitus who presented with fluctuating hearing loss in his leftear and severe whirling-type dizziness without associated neurological signs or symptoms. Temporal magnetic resonance imaging (MRI) was normal. He was diagnosed with a possibleMeniere’s disease and started conservative treatment. Eight years later, the patient developeddysarthria and left-side weakness. Brain MRI revealed right anterior medullary infarction,and cerebral angiography showed occlusion of the right vertebral artery. In thiscase, we attempted to review the initial imaging study and reported the characteristics ofthe case.
참고문헌 (11)
- Ahsan SF, "Systematic review and meta-analysis of Meniett therapy for Meniere's disease", Laryngoscope, 125, pp.203~208 (2015)[DOI]
- Wilson WR, "Why treat sudden hearing loss", Am J Otol, 5, pp.481~483 (1984)
- Son EJ, "Anterior inferior cerebellar artery infarction presenting with sudden hearing loss and vertigo", Laryngoscope, 117, pp.556~558 (2007)[DOI]
- 박시영, "어지럼을 동반한 돌발성난청으로 발현한 전하소뇌동맥 경색 2예", Research in Vestibular Science, 7(1), pp.85~88 (2008), 대한평형의학회
- Committee on Hearing, "American Academy of Otolaryngology-Head and Neck Foundation, Inc", Otolaryngol Head Neck Surg, 113, pp.181~185 (1995)[DOI]
- 김고운, "전구증상으로 급성 내이기능 장애가 발현된 척추동맥 협착에 의한 일과성 허혈발작", 대한이비인후-두경부외과학회지, 59(1), pp.58~63 (2016), 대한이비인후과학회[DOI]
- 김한신, "초기 돌발성난청과 정상 확산강조 뇌자기공명영상 소견을 보인 전하소뇌동맥경색 1예", Research in Vestibular Science, 8(2), pp.147~151 (2009), 대한평형의학회
- Kim JS, "Isolated labyrinthine infarction as a harbinger of anterior inferior cerebellar artery territory infarction with normal diffusion-weighted brain MRI", J Neurol Sci, 278, pp.82~84 (2009)[DOI]
- Caruso RD, "High signal on T1-weighted MR images of the head: a pictorial essay", Clin Imaging, 25, pp.312~319 (2001)[DOI]
- Li Q, "Conventional T2-weighted imaging to detect high-grade stenosis and occlusion of internal carotid artery, vertebral artery, and basilar artery", J Stroke Cerebrovasc Dis, 24, pp.1591~1596 (2015)[DOI]
- Kim C, "Ischemia as a potential etiologic factor in idiopathic unilateral sudden sensorineural hearing loss: analysis of posterior circulation arteries", Hear Res, 331, pp.144~151 (2016)[DOI]