Document Detail


Clinical diagnosis of anterior inferior cerebellar artery thrombosis. Autopsy and temporal bone histopathologic study.
MedLine Citation:
PMID:  2327695     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient having the diagnosis of an anterior inferior cerebellar artery insufficiency died 36 hours after the onset of the symptoms that allowed this diagnosis. The special features of this study include a known symmetric 40-dB hearing loss 1 year prior to the onset of the symptoms, the noted decrease in hearing and severe vertigo heralding the vascular accident, the ensuring neurologic deficits, and the short duration of the patient's life after the onset of her symptoms. The patient's clinical course and the histopathologic findings of the brain stem involved the vestibular nuclei, facial nerve, nuclei of nerve V, restiform body and middle cerebellar peduncle and labyrinth including loss of sensory epithelium of the cochlea and vestibular system and the ganglion cells of Scarpa's ganglion. These findings are correlated with previous animal studies and those of Reye's syndrome. To the authors' knowledge this is the first report of a temporal bone histopathologic study from a patient having had the diagnosis of a labyrinthine arterial vascular accident.
Authors:
R Hinojosa; R I Kohut
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  99     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-05-17     Completed Date:  1990-05-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  261-72     Citation Subset:  AIM; IM    
Affiliation:
Section of Otolaryngology-Head and Neck Surgery, University of Chicago Medical Center, Illinois 60637.
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MeSH Terms
Descriptor/Qualifier:
Aged
Arteries
Brain Stem / pathology
Cerebellum / blood supply*
Cochlea / pathology
Ear, Middle / pathology
Facial Nerve / pathology
Female
Humans
Temporal Bone / pathology*
Thrombosis / pathology*
Vestibular Nerve / pathology
Vestibule, Labyrinth / pathology
Vestibulocochlear Nerve / pathology
Grant Support
ID/Acronym/Agency:
NS 22042/NS/NINDS NIH HHS
Comments/Corrections
Comment In:
Ann Otol Rhinol Laryngol. 1990 Aug;99(8):678   [PMID:  2382941 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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