Sudden Deafness with Vertigo as a Sole Manifestation of Anterior Inferior Cerebellar Artery Infarction

J Korean Neurol Assoc > Volume 22(6); 2004 > Article

Journal of the Korean Neurological Association 2004;22(6): 643-645.

돌발성 난청과 현훈을 유일한 증상으로 가진 전하소뇌동맥경색 1예

이형, 안병훈

계명대학교 의과대학 신경과학교실, 이비인후과학교실

Sudden Deafness with Vertigo as a Sole Manifestation of Anterior Inferior Cerebellar Artery Infarction

Hyung Lee

Departments of Neurology, Otolaryngology Head and Neck Surgery*, Keimyung University School of Medicine, Daegu, Korea

Abstract

Although sudden deafness occurs with anterior inferior cerebellar artery infarction, the deafness is usually associated with other brainstem or cerebellum sign such as crossed sensory loss, lateral gaze palsy, facial weakness, Horner syndrome or limb dysmetria. An 84-year-old woman suddenly developed right-sided tinnitus, hearing loss, vertigo, and vomiting. Audiometry and electronystagmography documented absent auditory and vestibular functions on the right side. T2-weighted and diffusion-weighted MRI showed a tiny infarct in the right lateral inferior pontine tegmentum. Anterior inferior cerebellar artery occlusion can cause sudden deafness and vertigo without brainstem or cerebellar signs.Key Words: Sudden deafness, Vertigo, Anterior inferior cerebellar artery infarction