Res Vestib Sci.  2023 Sep;22(3):77-82. 10.21790/rvs.2023.22.3.77.

A Case of Delayed Audiovestibulopathy after Posterior Circulation Ischemic Stroke

• Lee HS
• Jeon EK
• Kwon DH
• Kong TH

• KMID: 2545898
• DOI: http://doi.org/10.21790/rvs.2023.22.3.77

Abstract

Distinguishing central and peripheral causes of dizziness is vital. A case is presented where a 42-year-old man with a history of posterior circulation ischemic stroke developed acute unilateral vestibulopathy with hearing loss. Clinical examination revealed signs of vestibular dysfunction on the left side. Audiometry confirmed deafness on the left, but imaging ruled out new central issues. The patient was diagnosed with audiovestibulopathy and treated with steroids, antiviral agents, intratympanic injections, and hyperbaric oxygen therapy. Hearing loss persisted, but dizziness improved with vestibular rehabilitation. Poststroke patients should be closely monitored for peripheral complications. Further research should explore the benefits of antiplatelet therapy in vascular-related conditions, even without clear central lesions.

Keyword

Ischemic stroke; Vertigo; Sudden hearing loss; Labyrinth diseases; Inner ear disease; Vestibualr disease; 허혈성 뇌졸중; 현훈; 돌발성 난청; 미로 질환; 내이 질환; 전정 질환