A case of cerebellar infarction occurred with the 8th cranial nerve symptoms.
A rare case, 32-year-old man, of cerebellar infarction with the occurrence of the 8th cranial nerve symptoms was reported. On the neuro-otological examination, hearing test and caloric test showed a severe hearing loss and no response on the right side, respectively, and the spontaneous horizontal nystagmus fixed to the left direction was observed. Magnetic resonance (MR) imaging showed the infarctions in the areas of anterior inferior cerebellar artery (AICA) and posterior inferior cerebellar artery (PICA) on the right side. On the 14th illness day, the 8th cranial nerve symptoms disappeared, and on the 12th illness day, right hearing level and caloric response were significantly improved. We suggested that such an early recovery of the subjective symptoms and neuro-otological findings may be attributable to the recanalized circulation disturbance or the development of collateral circulation.
Kido
T
T
Department of Otolaryngology, Yamaguchi University School of Medicine, Ube, Japan.
Sekitani
T
T
Okinaka
Y
Y
Tahara
T
T
Hara
H
H
D000328:Adult; D001301:Audiometry, Pure-Tone; D001933:Brain Stem / Q000503:physiopathology; D002531:Cerebellum / Q000098:blood supply*; D002544:Cerebral Infarction / Q000175:diagnosis* / Q000503:physiopathology; D003097:Collateral Circulation / Q000502:physiology; D004292:Dominance, Cerebral / Q000502:physiology; D016057:Evoked Potentials, Auditory, Brain Stem / Q000502:physiology; D016489:Head Injuries, Closed / Q000150:complications / Q000503:physiopathology; D006313:Hearing Loss, Central / Q000175:diagnosis* / Q000503:physiopathology; D003639:Hearing Loss, Sudden / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D007511:Ischemia / Q000175:diagnosis* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D011930:Reaction Time / Q000502:physiology; D014724:Vestibular Function Tests; D000159:Vestibulocochlear Nerve / Q000098:blood supply*