A case of tinnitus and hearing loss after cerebellar hemorrhage.
BACKGROUND
Approximately 10% of cases of hypertensive intracerebral hemorrhage are cerebellar hemorrhage. We report a case of intracerebellar hemorrhage in which the initial symptoms were hearing loss and tinnitus.


METHODS
A 45-year-old man suddenly complained of hearing loss and tinnitus on the right side. Computed tomography demonstrated a high-density area 1.2 cm in diameter in the right cerebellar peduncle. Because of enlargement of the high-density area, the patient underwent surgery based on the diagnosis of hypertensive intracerebellar hemorrhage, and the hematoma was evacuated. The right-sided acoustic nerve was remarkably swollen by a subpial hematoma.


CONCLUSIONS
In this case, hemorrhage of the right cerebellar peduncle extended to the eighth nerve through the subpial space, causing hearing loss and tinnitus.
Department of Neurosurgery, Shimane Prefectural Central Hospital, Japan.
Y
Y
Matsuda
T
T
Inagawa
T
T
Amano
D002543:Cerebral Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D034381:Hearing Loss / Q000000981:diagnostic imaging / Q000209:etiology*; D006406:Hematoma / Q000601:surgery; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D014012:Tinnitus / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D000159:Vestibulocochlear Nerve / Q000473:pathology