TY - JOUR
T1 - Sudden Bilateral Deafness in a Patient with Transient Ischemic Attack
T2 - A Case Report
AU - Pihl, Caroline Ellinore
AU - Back, Christina Fredsby
AU - Iversen, Helle Klingenberg
AU - Amin, Faisal Mohammad
N1 - Copyright © 2021 by S. Karger AG, Basel.
PY - 2021/1
Y1 - 2021/1
N2 - Sudden-onset bilateral cortical deafness is a very rare symptom of stroke, but must be recognized as stroke, as it is a treatable condition, and the treatment is highly time dependent. We report a 53-year-old man with an acute onset of complete bilateral hearing loss that gradually improved spontaneously over 4 h. The hearing loss was explained by an infarction visualized on magnetic resonance imaging, which showed a subacute temporoparietal ischemic lesion in the left cerebral hemisphere involving the insular cortex and an older infarction in the right temporoparietal region. The location of these kinds of lesions may typically not cause motor deficits, but sensory and cognitive (e.g., aphasia) symptoms, which can be challenging to recognize in a suddenly deaf patient. Taking the possible differential diagnoses into account, immediate stroke workup should always be prioritized in patients with sudden bilateral deafness, as acute revascularizing treatment is possible.
AB - Sudden-onset bilateral cortical deafness is a very rare symptom of stroke, but must be recognized as stroke, as it is a treatable condition, and the treatment is highly time dependent. We report a 53-year-old man with an acute onset of complete bilateral hearing loss that gradually improved spontaneously over 4 h. The hearing loss was explained by an infarction visualized on magnetic resonance imaging, which showed a subacute temporoparietal ischemic lesion in the left cerebral hemisphere involving the insular cortex and an older infarction in the right temporoparietal region. The location of these kinds of lesions may typically not cause motor deficits, but sensory and cognitive (e.g., aphasia) symptoms, which can be challenging to recognize in a suddenly deaf patient. Taking the possible differential diagnoses into account, immediate stroke workup should always be prioritized in patients with sudden bilateral deafness, as acute revascularizing treatment is possible.
KW - Acute deafness
KW - Acute hearing loss
KW - Bilateral hearing loss
KW - Stroke
KW - Sudden deafness
KW - Transient ischemic attack
UR - http://www.scopus.com/inward/record.url?scp=85100895464&partnerID=8YFLogxK
U2 - 10.1159/000512403
DO - 10.1159/000512403
M3 - Journal article
C2 - 33790769
SN - 1662-680X
VL - 13
SP - 119
EP - 122
JO - Case Reports in Neurology
JF - Case Reports in Neurology
IS - 1
ER -