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作 者:Xin-Lin Wang Min Sun Xiao-Ping Wang
机构地区:[1]Department of Neurology,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336,China [2]Department of Pediatrics,Shanghai East Hospital,Tongji University School of Medicine,Shanghai 200123,China
出 处:《World Journal of Clinical Cases》2021年第11期2519-2523,共5页世界临床病例杂志
摘 要: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 antiinflammatory 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.
关 键 词:Sudden hearing loss VERTIGO Posterior inferior cerebellar artery Anterior inferior cerebellar artery Cerebral infarction Case report
分 类 号:R743.33[医药卫生—神经病学与精神病学]
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