J Korean Neurosurg Soc.  2010 Nov;48(5):438-440. 10.3340/jkns.2010.48.5.438.

A Case of Temporal Intracerebral Hemorrhage That Presented with Sudden Bilateral Hearing Loss as the Initial Symptom

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Yongsan Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
  • 2Department of Neurosurgery, Yongsan Hospital, Chung-Ang University College of Medicine, Seoul, Korea. nscharisma@hanmail.net

Abstract

A 57-year-old man presented to the outpatient department with sudden bilateral hearing loss. The otological examination suggested bilateral severe sensorineural hearing loss. After several hours, the patient complained of a headache and became drowsy. The brain computed tomography showed a 3 x 4 cm intracerebral hemorrhage (ICH) of the left temporal lobe. Surgery was performed and 34 days after the procedure the patient was discharged from the hospital with severe bilateral sensorineural hearing loss (SNHL). Temporal lobe ICH should be considered in the differential diagnosis of patients with sudden bilateral hearing loss, regardless of the other neurological symptoms.

Keyword

Intracerebral hemorrhage; Sudden hearing loss; Temporal lobe

MeSH Terms

Brain
Cerebral Hemorrhage
Diagnosis, Differential
Headache
Hearing Loss, Bilateral
Hearing Loss, Sensorineural
Hearing Loss, Sudden
Humans
Middle Aged
Outpatients
Temporal Lobe
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