A case of brain stem infarction complaining initially of bilateral hearing disturbance
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A 77-year-old man who suffered from bilateral hearing disturbance followed by apparent cerebral infarc-tion signs is reported. He complained of right hearing disturbance and, after 4 hours, left hearing disturbance. Neurological examinations revealed gaze-evoked nystagmus to right-ward gaze.The next day, right hemi-paresis and paralytic aphonia appeared, and treatment for cerebral infarction was initiated. A CT scan at 4 days after the onset revealed an infarcted area in the left middle pons, and 3D-CTA after 6 days showed that the middle portion of the basilar artery was occluded. 3D-CTA after 1 month demonstrated a recanalization of the basilar artery.<BR>Since hearing disturbance could be an initial symptom of cerebrovascular disease, closer observation of the cerebral signs and further investigations of the cerebral artery are necessary.
- 一般社団法人 日本脳卒中学会の論文
一般社団法人 日本脳卒中学会 | 論文
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