Bilateral Cochleovestibulopathy Due to Internal Auditory Canal Metastasis in a Patient with Stomach Cancer | Zendy

Sertaç Yetışer | Zendy

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Bilateral Cochleovestibulopathy Due to Internal Auditory Canal Metastasis in a Patient with Stomach Cancer

Author(s) -

Sertaç Yetışer

Publication year - 2016

Publication title -

the journal of international advanced otology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.518

H-Index - 13

eISSN - 2148-3817

pISSN - 1308-7649

DOI - 10.5152/iao.2016.2762

Subject(s) - medicine , vestibular system , metastasis , auditory canal , stomach , hearing loss , cancer , sudden hearing loss , stomach cancer , rehabilitation , surgery , audiology , physical therapy

Bilateral sudden onset hearing loss and vestibular dysfunction due to metastatic carcinoma of the internal auditory canal (IAC) on both sides is an extremely rare occurrence. This is a challenging case in neuro-otology that is difficult to relieve by medical support, and spontaneous compensation by vestibular rehabilitation is minimal. The spread of tumor cells to the cerebrospinal space indicates poor prognosis. We present a patient with stage-III gastric carcinoma who experienced sudden hearing loss and severe imbalance. Radiological investigation revealed bilateral metastasis of the IAC. Clinical aspects, diagnosis, and treatment issues related to bilateral cochleovestibulopathy are discussed.

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