Sažetak sa skupa
Hearing loss in young boy caused by cerebellar stroke- case report
Matea Zrno
; MORH, Vojno zdravstveno središte, Zagreb, Hrvatska; KB Sveti Duh, Zagreb, Hrvatska
Ana Penezić
; KBC Sestre milosrdnice, Zagreb, Hrvatska
Iva Kelava
; KBC Sestre milosrdnice, Zagreb, Hrvatska
Sažetak
Sudden sensorineural hearing loss (SSHL) and vertigo in children are relatively uncommon. The assessment
of acute vertigo in childhood is often challenging. Fortunately, a central cause is rare. The incidence of
ischemic strokes in children is given as six cases in 1 000 000 children per year. The aim of this report is to
present a rare case of vertigo and hearing loss in young patient developed after cerebellar ischemia. A 15-yearold boy presented in emergency ENT department with symptoms of dizziness, right sided hearing loss and
tinnitus. Two days prior to the visit, he participated in a wrestling training, after which he started to feel
nauseous, developed dizziness without rotatory component and mild hearing loss in right ear. Few hours after
that he vomited two times and noticed that his hearing worsened. History of ear inflammation or recent viral
infection in upper airway was negative. Audiometry exam showed right sided sensorineural hearing loss, with
thresholds from 15 to 70 dB. Upon examination he was given oral corticosteroid therapy. MRI showed three
areas of restricted diffusion in right cerebellar hemisphere, consistent with ischemic lesions. He was then
referred to neuropediatric department for additional diagnosis and treatment. On follow-up at 6 months,
audiometric testing showed stationary findings without worsening of hearing threshold levels. The literature
contains numerous models of the pathogenesis of SSHL, with childhood SSHL having certain peculiarities. In
practical terms, the multifactorial nature of SSHL is important in the choice of diagnostic methods and
treatment methods. Early recognition of central causes which could lead to severe health consequences is
extremely important.
Ključne riječi
sensorineural hearing loss; children; cerebellar stroke
Hrčak ID:
308135
URI
Datum izdavanja:
19.9.2023.
Posjeta: 337 *