title: Improvement of sudden bilateral hearing loss after vertebral artery stenting.
abstract: Bilateral deafness is a rare but possible symptom of vertebrobasilar ischemia. We report a case of sudden bilateral sensorineural hearing loss caused by bilateral vertebral artery (VA) occlusion which dramatically improved after stenting. A 54-year-old man was admitted with sudden onset of bilateral deafness, vertigo, and drowsy mental status. Brain diffusion-weighted MRI showed acute infarction involving both the posterior inferior cerebellar artery and left posterior cerebral artery territory. Cerebral angiography showed bilateral distal VA occlusion, and emergency intracranial stenting was performed in the left VA. After reperfusion therapy his symptoms gradually improved, including hearing impairment. Endovascular stenting may be helpful in a patient with sudden deafness caused by bilateral VA occlusion.
authors.affiliation: Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Ji Hwa
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Sooul, Republic of Korea.
authors.forename: Kyung Jin
authors.initials: KJ
authors.lastname: Roh
authors.affiliation: Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea Severance Institute for Vascular and Metabolic Research, Yonsei University, Seoul, Republic of Korea.
authors.forename: Sang Hyun
authors.initials: SH
authors.lastname: Suh
authors.affiliation: Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea Severance Institute for Vascular and Metabolic Research, Yonsei University, Seoul, Republic of Korea.
authors.forename: Kyung-Yul
authors.initials: KY
authors.lastname: Lee
mesh_terms: D038524:Diffusion Magnetic Resonance Imaging; D057510:Endovascular Procedures / Q000379:methods; D006312:Hearing Loss, Bilateral / Q000175:diagnosis / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D020769:Posterior Cerebral Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D011859:Radiography; D015607:Stents; D016896:Treatment Outcome; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*
keywords: Intervention; Stent; Stroke