A Case of Acute Inner Ear Dysfunction as a Prodrome of Transient Ischemic Attack Caused by Vertebral Artery Stenosis / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 58-63, 2016.
Article
in Korean
| WPRIM
| ID: wpr-655712
ABSTRACT
A sudden hearing loss with vertigo may originate from vascular insufficiency and sometimes presents as an initial manifestation of posterior brain circulation infarction. However, it is unusual that sudden hearing loss and vertigo present as a prodrome of transient ischemic attack. Here we describe the case of a 54-year-old male patient with hypertension who presented with a sudden onset of hearing loss in his right ear and recurrent severe, whirling type dizziness without associated neurological signs or symptoms. The diffusion-weighted magnetic resonance imaging (MRI) was normal on initial presentation. Ten days later, however, the patient developed dysarthria. A follow-up MRI including the diffusion-weighted images was normal but cerebral angiography showed severe narrowing of right vertebral artery. Transient ischemic attack caused by vertebrobasilar artery stenosis should be considered in sudden hearing loss and vertigo, especially patients with vascular risk factors, even though images of brain MRI are normal.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Vertebral Artery
/
Vertebrobasilar Insufficiency
/
Brain
/
Magnetic Resonance Imaging
/
Cerebral Angiography
/
Ischemic Attack, Transient
/
Vertigo
/
Risk Factors
/
Follow-Up Studies
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Otolaryngology - Head and Neck Surgery
Year:
2016
Type:
Article
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