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Sudden Bilateral Deafness in a Patient with Transient Ischemic Attack: A Case Report

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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.

Original languageEnglish
Book seriesCase Reports in Neurology
Volume13
Issue number1
Pages (from-to)119-122
Number of pages4
ISSN1662-680X
DOIs
Publication statusPublished - Jan 2021

    Research areas

  • Acute deafness, Acute hearing loss, Bilateral hearing loss, Stroke, Sudden deafness, Transient ischemic attack

ID: 65610624