Acute Unilateral Audiovestibulopathy due to Embolic Labyrinthine Infarction

Frontiers in Neurology
Zhong LiqunJi-Soo Kim

Abstract

Labyrinthine infarction is a cause of acute audiovestibulopathy, but can be diagnosed only in association with other infarctions involving the brainstem or cerebellar areas supplied by the anterior inferior cerebellar artery (AICA) since current imaging techniques cannot visualize an infarction confined to the labyrinth. This case series aimed to establish embolic labyrinthine infarction as a mechanism of isolated acute audiovestibulopathy. We analyzed clinical features, imaging findings, and mechanisms of embolism in 10 patients (8 men, age range: 38-76) who had developed acute audiovestibulopathy in association with an obvious source of embolism and concurrent acute embolic infarctions in the non-anterior inferior cerebellar artery territories. The presence of audiovestibulopathy was defined when bedside or laboratory evaluation documented unilateral vestibular (head-impulse tests or caloric tests) or auditory loss (audiometry). Six patients showed combined audiovestibulopathy while three had isolated vestibulopathy. One patient presented isolated hearing loss. Audiovestibular findings were the only abnormalities observed in nine patients. In all patients, MRIs documented single or multiple infarctions in the cerebellum (n = ...Continue Reading

References

Jul 1, 1975·The Journal of Laryngology and Otology·J L Wright, S H Saunders
Jan 1, 1990·Acta Oto-laryngologica. Supplementum·A Mazzoni
Jul 1, 1988·Archives of Neurology·G M Halmagyi, I S Curthoys
Aug 1, 1969·The Annals of Otology, Rhinology, and Laryngology·A Mazzoni
Jun 20, 1998·Neurology·L TatuH Duvernoy
Jun 21, 2003·The Journal of Laryngology and Otology·J S Phillips, P R Prinsley
Apr 28, 2004·Neurology·S F A RauppL H Visser
Sep 21, 2004·Journal of Neurology, Neurosurgery, and Psychiatry·D ChowdhuryM S Dennis
Apr 4, 2006·Journal of the Neurological Sciences·Kwang-Dong ChoiJi Soo Kim
Apr 29, 2006·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·E KumralC Ataç
Jun 21, 2007·Journal of Neurology, Neurosurgery, and Psychiatry·Kwang-Dong ChoiJi Soo Kim
Jul 3, 2007·The Laryngoscope·Kwang-Dong ChoiJi Soo Kim
Dec 26, 2008·Journal of the Neurological Sciences·Hyung LeeJi Soo Kim
Jul 10, 2009·Journal of Clinical Neurology·Je-Young ShinJi Soo Kim
Oct 3, 2009·Stroke; a Journal of Cerebral Circulation·Hyung LeeJe-Young Shin
Oct 17, 2009·Seminars in Neurology·Ji Soo Kim, Hyung Lee
Jan 8, 2010·Journal of Neurology·Seonhye KimJi Soo Kim
Jul 8, 2010·Journal of Clinical Neurology·Seung-Han Lee, Ji Soo Kim
Jan 5, 2012·Journal of Neurology·Ji-Soo Kim, Hyo Jung Kim
Jun 27, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Aasef G ShaikhBashar Katirji
Nov 19, 2013·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Hyo-Jung KimJi-Soo Kim
Nov 29, 2013·Journal of Clinical Neurology·Young-Eun Huh, Ji-Soo Kim
Mar 27, 2015·Journal of Neurology·Seo-Young ChoiJi-Soo Kim
Jan 13, 2016·Journal of Clinical Neurology·Hyo Jung KimJung Ho Han
Oct 22, 2016·Journal of Neurology·Ileok JungJi-Soo Kim
Oct 17, 2017·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Andrea CiorbaClaudia Aimoni

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Citations

Dec 4, 2019·Current Opinion in Neurology·Seung-Han Lee, Ji-Soo Kim
Dec 12, 2019·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·M A Kutlubaev, M V Zamergrad
Nov 5, 2021·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·João SimõesAntónio Miguéis

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Methods Mentioned

BETA
imaging techniques
sedation
dissection

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