Oscillucusis and sudden deafness in a migraine patient.
Migraine is a complex disease that includes neurologic, gastrointestinal and autonomic symptoms, although headache is most common feature. In a portion of cases headache is preceded by focal neurologic symptoms termed auras. Auditory symptoms only rarely occur as part of an aura. We describe a patient whose 13-year migraine history that included the abnormal perception an oscillation of the intensity of ambient sounds (oscillucusis). During a migraine attack immediately after oscillucusis, the patient developed acute and permanent sudden deafness. Clinical and neurologic examinations revealed only profound hearing loss in her left ear. Audiometric testing confirmed the sensorineural nature of the hearing loss. The clinical aspects and physiopathology of auditory symptoms in this case and in patients with migraine is reviewed.
Piovesan
Elcio Juliato
EJ
Departamento de Clinica Médica, Hospital de Clinicas, Universidade Federal do Paraná, Curitiba, PR, Brazil. Piovesan@avalon.sul.com.br
Kowacs
Pedro Andre
PA
Werneck
Lineu Cesar
LC
Siow
Charles
C
D001309:Auditory Threshold; D005260:Female; D003639:Hearing Loss, Sudden / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications*