Wang XL, Sun M, Wang XP. Cerebellar artery infarction with sudden hearing loss and vertigo as initial symptoms: A case report. World J Clin Cases 2021; 9(11): 2519-2523 [PMID: 33889616 DOI: 10.12998/wjcc.v9.i11.2519]
Corresponding Author of This Article
Xiao-Ping Wang, PhD, Chairman, Department of Neurology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, No. 1111 Xianxia Road, Shanghai 200336, China. wangxp@ustc.edu
Research Domain of This Article
Clinical Neurology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 16, 2021; 9(11): 2519-2523 Published online Apr 16, 2021. doi: 10.12998/wjcc.v9.i11.2519
Cerebellar artery infarction with sudden hearing loss and vertigo as initial symptoms: A case report
Xin-Lin Wang, Min Sun, Xiao-Ping Wang
Xin-Lin Wang, Xiao-Ping Wang, Department of Neurology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China
Min Sun, Department of Pediatrics, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200123, China
Author contributions: Wang XL collected the clinical information and wrote the manuscript draft; Sun M reviewed the literature and contributed to manuscript drafting; Wang XP revised the submission; All authors contributed to the discussion and approved the final manuscript to be submitted.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: No conflict of interest exits in the submission of this manuscript, and manuscript is approved by all authors for publication.
CARE Checklist (2016) statement: We checked the CARE Checklist (2016) item by item to ensure that the article met publication requirements.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Ping Wang, PhD, Chairman, Department of Neurology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, No. 1111 Xianxia Road, Shanghai 200336, China. wangxp@ustc.edu
Received: October 2, 2020 Peer-review started: October 2, 2020 First decision: December 24, 2020 Revised: December 30, 2020 Accepted: February 11, 2021 Article in press: February 11, 2021 Published online: April 16, 2021
Abstract
BACKGROUND
Sudden hearing loss (SHL) is associated with serious systematic conditions such as neoplasms, vascular events, autoimmune diseases, infections, and iatrogenic injury. Some authors report that SHL can be an early warning sign of impending vertebrobasilar ischemic stroke. It is important to distinguish stroke from benign disease.
CASE SUMMARY
A 48-year-old male patient presented with SHL and vertigo as first symptoms. Diffusion-weighted imaging revealed high signal intensity in the left posterior inferior cerebellar artery territory of the cerebellar hemisphere and high signal intensity in the right pons and bridge cerebellar arm, confirming that the patient had cerebral infarction. Treatment with antiplatelet drugs, steroid anti-inflammatory drugs, and neurotrophic nerve therapy promoted blood circulation and removed blood stasis, and the symptoms of the patient were significantly improved.
CONCLUSION
SHL and vertigo could be the initial symptoms of vertebrobasilar ischemic stroke.
Core Tip: We report a 48-year-old male patient who was confirmed to have cerebral infarction with sudden hearing loss and vertigo as initial presenting symptoms. Our case suggests that if a patient with vascular risk factors initially present with SHL and vertigo before additional signs of brainstem or cerebellar infarction appear, doctors should consider the possibility of symptoms of posterior circulation infarction. For stroke patients, timely diagnosis and treatment are needed.
