Ani İşitme Kaybının Vertebrobaziler Yetmezlikle İlişkisi: Bir Olgu Sunumu

Amaç: Ani işitme kaybı, viral ve vasküler nedenlere bağlı olarak ortaya çıkabilir. Vasküler nedenlerden biri olan vertebrobaziler yetmezlik, daha çok orta yaş ve üzerindeki hastalarda vestibüler problemlere neden olabilir. Ani işitme kaybı ve vertebrobaziler yetmezlik arasındaki ilişki az bilinmektedir. Yöntem: Bu yazıda sol kulağında ani başlangıçlı işitme kaybı ve vertigo nedeniyle başvuran bir erkek olgu sunulmuştur. Hasta başlangıçta ani idiyopatik sensörinöral işitme kaybı tanısı almıştır. Vertebrobaziler yetmezlik şüphesi, vestibüler değerlendirmeler sonucunda oluşmuş, tanısı radyolojik görüntülemeler ile koyulmuştur. Sonuç: Vertebrobaziler yetmezliğin, ani işitme kaybı etiyolojisinde rol oynayabileceği akılda tutulmalıdır.

Association of Sudden Hearing Loss with Vertebrobasiler Insufficiency: A Case Report

Aim: Sudden hearing loss can occur due to viral and vascular causes. Vertebrobasilar insufficiency, which is one of the vascular reasons, commonly cause vestibular problems in middle-aged and older patients, with or without hearing impairment. However, little is known about the association between sudden hearing loss and vertebrobasilar insufficiency. Methods: A 51 years old male who had sudden onset hearing loss in his left ear and vertigo is presented. Initially, he was diagnosed of left-sided sudden idiopathic sensorineural hearing loss. Suspicion of vertebrobasilar insufficiency raised following completion of vestibular evaluations and diagnosed with imaging studies. Results: It should be kept in mind that vertebrobasilar insufficiency can be an etiologic factor in cases presenting with sudden hearing loss.

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  • [1] S. H. Kim, S. J. Kim, H. Im, T. H. Kim, J. J. Song, and S. W. Chae, "A Trend in Sudden Sensorineural Hearing Loss: Data from a Population-Based Study," Audiol Neurootol, vol. 22, no. 6, pp. 311-316, 2017, doi: 10.1159/000485313.
  • [2] S. S. Chandrasekhar et al., "Clinical Practice Guideline: Sudden Hearing Loss (Update)," Otolaryngol Head Neck Surg, vol. 161, no. 1_suppl, pp. S1-S45, Aug 2019, doi: 10.1177/0194599819859885.
  • [3] Y. H. Hsu, H. Y. Hu, Y. C. Chiu, F. P. Lee, and H. M. Huang, "Association of Sudden Sensorineural Hearing Loss With Vertebrobasilar Insufficiency," JAMA Otolaryngol Head Neck Surg, vol. 142, no. 7, pp. 672-5, Jul 1 2016, doi: 10.1001/jamaoto.2016.0845.
  • [4] Y. H. Hsu, H. Y. Hu, Y. C. Chiu, F. P. Lee, and H. M. Huang, "Association of Sudden Sensorineural Hearing Loss With Vertebrobasilar Insufficiency," JAMA Otolaryngol Head Neck Surg, vol. 142, no. 7, pp. 672-5, Jul 1 2016, doi: 10.1001/jamaoto.2016.0845.
  • [5] B. E. Schreiber, C. Agrup, D. O. Haskard, and L. M. Luxon, "Sudden sensorineural hearing loss," Lancet, vol. 375, no. 9721, pp. 1203-11, Apr 3 2010, doi: 10.1016/S0140-6736(09)62071-7
  • [6] L. Pirau and F. Lui, "Vertebrobasilar insufficiency," StatPearls [Internet], 2020. Available: https://www.ncbi.nlm.nih.gov/books/NBK482259/
  • [7] K. D. Choi et al., "Rotational vertebral artery occlusion: mechanisms and long-term outcome," Stroke, vol. 44, no. 7, pp. 1817-24, Jul 2013, doi: 10.1161/STROKEAHA.113.001219.
  • [8] I. Takahashi, S. Kaneko, K. Asaoka, and T. Harada, "Rotational occlusion of the vertebral artery at the atlantoaxial joint: is it truly physiological?," Neuroradiology, vol. 36, no. 4, pp. 273-275, 1994.
  • [9] A. C. Lima Neto et al., "Pathophysiology and Diagnosis of Vertebrobasilar Insufficiency: A Review of the Literature," Int Arch Otorhinolaryngol, vol. 21, no. 3, pp. 302-307, Jul 2017, doi: 10.1055/s-0036-1593448.
  • [10] T. Yamasoba, S. Kikuchi, T. O'uchi, R. Higo, and A. Tokumaru, "Sudden sensorineural hearing loss associated with slow blood flow of the vertebrobasilar system," Annals of Otology, Rhinology & Laryngology, vol. 102, no. 11, pp. 873-877, 1993.
  • [11] E. Zamyslowska-Szmytke, T. Adamczewski, J. Ziaber, J. Majak, J. Kujawa, and M. Sliwinska-Kowalska, "Cervico-ocular reflex upregulation in dizzy patients with asymmetric neck pathology," Int J Occup Med Environ Health, vol. 32, no. 5, pp. 723-733, Oct 16 2019, doi: 10.13075/ijomeh.1896.01428.
  • [12] L. Yonghong, W. Qi, and L. Li, "The application of postural sway in the treatment of patients with vertigo induced by vertebrobasilar insufficiency," Stroke and Nervous Diseases, p. 05, 2005.
  • [13] C. Lin, S. W. Lin, Y. S. Lin, S. F. Weng, and T. M. Lee, "Sudden sensorineural hearing loss is correlated with an increased risk of acute myocardial infarction: A population‐based cohort study," The Laryngoscope, vol. 123, no. 9, pp. 2254-2258, 2013.
  • [14] P. C. Hsiao, H. Y. Hu, T. H. Yang, F. P. Lee, and H. M. Huang, "Sudden sensorineural hearing loss associated with tension-type headache: a population-based study," Audiol Neurootol, vol. 20, no. 2, pp. 122-127, 2015, doi: 10.1159/000370301.
  • [15] G. M. Halmagyi, L. Chen, H. G. MacDougall, K. P. Weber, L. A. McGarvie, and I. S. Curthoys, "The Video Head Impulse Test," Front Neurol, vol. 8, p. 258, 2017, doi: 10.3389/fneur.2017.00258.