Sudden bilateral hearing impairment in vertebrobasilar occlusive disease.
- 1 January 1993
- journal article
- abstracts
- Published by Wolters Kluwer Health in Stroke
- Vol. 24 (1) , 132-137
- https://doi.org/10.1161/01.str.24.1.132
Abstract
Bilateral hearing impairment is rare in vertebrobasilar occlusive disease.Between 1986 and 1991, we encountered seven patients (four men, three women; median age, 61 years; range, 46-71 years) who had sudden bilateral hearing impairment among 503 patients with vertebrobasilar occlusive disease. The main initial neurological symptoms were sudden bilateral hearing impairment, tinnitus, and vertigo. Acute labyrinthitis or Ménière's disease was the initial diagnosis until subsequent brain stem or cerebellar signs appeared. Brain stem auditory evoked potentials were abnormal bilaterally in six patients but had unilateral attenuation of the IV-V complex in the remaining one patient. Computed tomographic scans in all six patients showed multiple hypodense lesions in the brain stem and the cerebellum. Cerebral angiography showed complete occlusion on both vertebral arteries in one patient, occlusion on the left with small caliber on the right in another, and severe stenosis on both sides in a third. There was no ...Keywords
This publication has 16 references indexed in Scilit:
- Evoked potentials in basilar artery thrombosis: correlation with clinical and angiographic findingsElectroencephalography and Clinical Neurophysiology, 1988
- Brainstem auditory hallucinosisNeurology, 1986
- Age-related latency changes in the brain-stem auditory evoked potentialsElectroencephalography and Clinical Neurophysiology/Evoked Potentials Section, 1985
- Persistence of auditory nerve response and absence of brain-stem response in severe cerebral ischaemiaElectroencephalography and Clinical Neurophysiology, 1984
- Occlusions of the basilar arteryNeurosurgical Review, 1981
- Midbrain deafness following head injuryNeurology, 1975
- Experimental Microembolization Of Cochlear VesselsJAMA Otolaryngology–Head & Neck Surgery, 1970
- Vertigo in Cerebrovascular DiseaseJAMA Otolaryngology–Head & Neck Surgery, 1967
- THE DIAGNOSIS OF THE MAJOR AND MINOR SYNDROMES OF BASILAR INSUFFICIENCYBrain, 1962
- OCCLUSION OF THE BASILAR ARTERY—A CLINICAL AND PATHOLOGICAL STUDYBrain, 1946