| Hearing symptoms in migrainous infarction. | |
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MedLine Citation:
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PMID: 12533097 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: In case reports, migraine headaches have been associated with fluctuating low-frequency hearing loss and sudden, unilateral hearing loss. Auditory symptoms associated with migrainous infarction have not previously been emphasized. OBJECTIVE: To describe migrainous infarction presenting with acute auditory symptoms. DESIGN: Case reports. SETTING: Tertiary care hospitals. PATIENTS: A 40-year-old man with a history of migraine suddenly developed bilateral hearing loss associated with severe, throbbing, occipital headache, tinnitus, vertigo, speech disturbance, and right hemiparesis. An early audiogram showed profound, down-sloping, sensorineural-type hearing loss bilaterally. Sixteen days later, a follow-up pure tone audiogram documented marked improvement in both sides to a pure tone average of 30 dB. Right hemiparesis and dysarthria also improved steadily for 2 months. A 25-year-old woman with a history of migraine with aura suddenly developed hyperacusis, unilateral hearing loss, and migraine headache early in migrainous infarction. Magnetic resonance imaging documented infarcts in the pons and cerebellum. CONCLUSIONS: In these patients, acute auditory symptoms are a part of the prodrome of migrainous infarction. We speculate that these symptoms may have resulted from migraine-associated vasospasm. Migrainous infarction should be considered in the differential diagnosis of acute auditory symptoms, including sudden, bilateral hearing loss. |
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Authors:
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Hyung Lee; Gregory T Whitman; Jeong Geung Lim; Sang Doe Yi; Yong Won Cho; Sarah Ying; Robert W Baloh |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Archives of neurology Volume: 60 ISSN: 0003-9942 ISO Abbreviation: Arch. Neurol. Publication Date: 2003 Jan |
Date Detail:
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Created Date: 2003-01-20 Completed Date: 2003-02-05 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372436 Medline TA: Arch Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 113-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurology, Keimyung University, School of Medicine, Daegu, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Cerebral Infarction / etiology* Hearing Loss, Sensorineural / etiology* Humans Male Migraine Disorders / complications* Recovery of Function |
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