J Korean Ster Func Neurosurg.  2021 Jun;17(1):30-33. 10.52662/jksfn.2021.00010.

Surgical management of temporal lobe intracerebral hemorrhage presenting with bilateral deafness: a case report

• Na D
• Choi H
• Cho Y
• Jeon J

• KMID: 2534568
• DOI: http://doi.org/10.52662/jksfn.2021.00010

Abstract

Temporal lobe intracerebral hemorrhage (ICH) causing bilateral sensorineural hearing loss (SNHL) is considered rare. However, there are a few reports regarding the treatment of this condition, most of which have described the use of conservative treatment. We herein report the surgical outcome of a 58-year-old patient diagnosed with temporal lobe ICH presenting with bilateral SNHL. A 58-year-old male presented to our hospital complaining of bilateral deafness. Pure tone audiometry (PTA) revealed bilateral SNHL. He had a history of spontaneous ICH in the left temporal lobe region 2 years previously. Following routine intravenous dexamethasone, the patient was screened with brain magnetic resonance imaging. Imaging showed subcortical ICH (3.4×2.5×4.0 cm3) in the right temporal lobe area. Further physical examination did not reveal any neurologic deficits other than deafness. He underwent surgery for ICH removal. Postoperative computed tomography confirmed that the ICH was removed. After surgery, his symptoms and follow-up PTA showed improvement on both sides within 2 days. Bilateral SNHL due to ICH is rare and has a poor prognosis. However, surgery may be an appropriate treatment for bilateral SNHL.

Keyword

Intracerebral hemorrhage; Bilateral sensorineural hearing loss; Serviceable hearing; Auditory pathways