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Hearing loss in lateral medullary syndrome
Author(s) -
Sato Kenichiro,
Hida Ayumi,
Omori Aki,
Arai Noritoshi,
Takeuchi Sousuke
Publication year - 2016
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12080
Subject(s) - medicine , medullary cavity , hearing loss , posterior inferior cerebellar artery , hemiparesis , cerebellar artery , anterior inferior cerebellar artery , brainstem , lesion , cerebellar vermis , infarction , anatomy , vertebral artery , audiology , surgery , cerebellum , cardiology , myocardial infarction , aneurysm
We report a case of lateral medullary syndrome with hemiparesis and hearing loss. A 69‐year‐old man was diagnosed with right‐sided lateral medullary syndrome and cerebellar vermis infarction with ipsilateral hemiparesis as a result of an upper cervical lesion. On the seventh hospital day, ipsilateral hearing loss suddenly emerged. The results of auditory and vestibular tests, including auditory brainstem responses, suggested a possible lesion in the vestibulocochlear nerve. Hearing loss could be attributed to a non‐anterior inferior cerebellar artery, vertebral artery and/or posterior inferior cerebellar artery infarction. The possibility of comorbidity of hearing loss with lateral medullary syndrome in this case suggests the possible usefulness of further intensive antithrombotic therapy in cases of lateral medullary syndrome with uncommon presentations.