Hearing symptoms in migrainous infarction

Hyung Lee, Gregory T. Whitman, Jeong Geung Lim, Sang Doe Yi, Yong Won Cho, Sarah Ying, Robert W. Baloh

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)113-116
Number of pages4
JournalArchives of neurology
Issue number1
StatePublished - Jan 1 2003

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology


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