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.
Matsuda
Y
Y
Department of Neurosurgery, Shimane Prefectural Central Hospital, Japan.
Inagawa
T
T
Amano
T
T
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