TY - JOUR
T1 - Hearing symptoms in migrainous infarction
AU - Lee, Hyung
AU - Whitman, Gregory T.
AU - Lim, Jeong Geung
AU - Yi, Sang Doe
AU - Cho, Yong Won
AU - Ying, Sarah
AU - Baloh, Robert W.
PY - 2003/1/1
Y1 - 2003/1/1
N2 - 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.
AB - 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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U2 - 10.1001/archneur.60.1.113
DO - 10.1001/archneur.60.1.113
M3 - Article
C2 - 12533097
AN - SCOPUS:0037227593
SN - 0003-9942
VL - 60
SP - 113
EP - 116
JO - Archives of neurology
JF - Archives of neurology
IS - 1
ER -