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Dissecting basilar artery aneurysm manifesting as sudden sensorineural hearing loss: a case report and literature review
- Source :
- The Journal of International Medical Research, Journal of International Medical Research, Vol 47 (2019)
- Publication Year :
- 2019
- Publisher :
- SAGE Publications, 2019.
-
Abstract
- Highlights • Dissecting basilar artery aneurysm (DBAA) is relatively rare. • We report the first case of a DBAA manifesting as sudden sensorineural hearing loss. • This case report adds to the symptom spectrum of DBAA.<br />Dissecting aneurysms of the basilar artery are rare and severe entities with high hemorrhage and mortality rates. Common clinical symptoms of this condition include cerebral ischemia, subarachnoid hemorrhage, and neurological deficits induced by space-occupying effects. Vertigo, headache, and cranial nerve paralysis are also frequent symptoms. We report a case of dissecting basilar artery aneurysm manifesting as sudden sensorineural hearing loss. A 53-year-old man presented with vertigo, left-sided tinnitus, and sudden sensorineural hearing loss for 1 hour. A physical examination showed left-sided hearing loss and bilateral horizontal nystagmus, and a radiological examination showed a dissecting aneurysm originating from the basilar artery. A diagnosis of a dissecting aneurysm of the basilar artery with sudden sensorineural hearing loss was made. The aneurysm was treated using stent-assisted coil embolization. Postoperatively, the vertigo and tinnitus, as well as the left hearing loss, greatly improved. Follow-up digital subtraction angiography 10 months after the operation showed complete disappearance of the dissecting aneurysm of the basilar artery. In patients with sudden sensorineural hearing loss, clinicians should be aware of the potential of a dissecting basilar artery aneurysm. An interdisciplinary approach is important in diagnosis and treatment of this rare condition.
- Subjects :
- Male
Medicine (General)
medicine.medical_specialty
Computed Tomography Angiography
Hearing Loss, Sensorineural
Case Reports
030204 cardiovascular system & hematology
coil embolization
Biochemistry
vertigo
Tinnitus
03 medical and health sciences
R5-920
0302 clinical medicine
Aneurysm
medicine.artery
Vertigo
Internal medicine
Basilar artery
Humans
Medicine
Coil embolization
biology
business.industry
Cerebral infarction
Biochemistry (medical)
Angiography, Digital Subtraction
Intracranial Aneurysm
Cell Biology
General Medicine
Middle Aged
cerebral infarction
biology.organism_classification
medicine.disease
Embolization, Therapeutic
sudden sensorineural hearing loss
Aortic Dissection
Basilar Artery
030220 oncology & carcinogenesis
Sudden sensorineural hearing loss
cardiovascular system
Cardiology
Dissecting aneurysm
medicine.symptom
business
Subjects
Details
- ISSN :
- 14732300 and 03000605
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- Journal of International Medical Research
- Accession number :
- edsair.doi.dedup.....d6b246a4d7f530622c7a696860637078