Kim Ji Hwa, Roh Kyung Jin, Suh Sang Hyun, Lee Kyung-Yul
Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Sooul, Republic of Korea.
BMJ Case Rep. 2015 Feb 19;2015:bcr2014011595. doi: 10.1136/bcr-2014-011595.
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.
双侧耳聋是椎基底动脉缺血罕见但可能出现的症状。我们报告一例由双侧椎动脉（VA）闭塞引起的突发性双侧感音神经性听力损失病例，该患者在支架置入术后听力显著改善。一名54岁男性因突发双侧耳聋、眩晕和嗜睡状态入院。脑部弥散加权磁共振成像显示急性梗死累及双侧小脑后下动脉和左侧大脑后动脉供血区。脑血管造影显示双侧椎动脉远端闭塞，遂对左侧椎动脉进行了急诊颅内支架置入术。再灌注治疗后，他的症状逐渐改善，包括听力障碍。血管内支架置入术可能对双侧椎动脉闭塞所致突发性耳聋患者有益。
