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Case report
Improvement of sudden bilateral hearing loss after vertebral artery stenting
  1. Ji Hwa Kim1,
  2. Kyung Jin Roh2,
  3. Sang Hyun Suh3,4,
  4. Kyung-Yul Lee1,4
  1. 1Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
  2. 2Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Sooul, Republic of Korea
  3. 3Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
  4. 4Severance Institute for Vascular and Metabolic Research, Yonsei University, Seoul, Republic of Korea
  5. 5Department of Neurology, Gangnam Severance Hospital and Severance Institute for Vascular and Metabolic Research, Seoul, Republic of Korea
  1. Correspondence to Dr Kyung-Yul Lee, Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonjuro, Gangnam-gu, Seoul, 135-720, Korea; kylee{at}yuhs.ac

Abstract

Bilateral deafness is a rare but possible symptom of vertebrobasilar ischemia. We report a case of sudden bilateral sensorineural hearing loss caused by bilateral vertebral artery (VA) occlusion which dramatically improved after stenting. A 54-year-old man was admitted with sudden onset of bilateral deafness, vertigo, and drowsy mental status. Brain diffusion-weighted MRI showed acute infarction involving both the posterior inferior cerebellar artery and left posterior cerebral artery territory. Cerebral angiography showed bilateral distal VA occlusion, and emergency intracranial stenting was performed in the left VA. After reperfusion therapy his symptoms gradually improved, including hearing impairment. Endovascular stenting may be helpful in a patient with sudden deafness caused by bilateral VA occlusion.

  • Intervention
  • Stroke
  • Stent

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