Ipsiversive Ocular Torsion, Skew Deviation, and Hearing Loss as Initial Signs of Anterior Inferior Cerebellar Artery Infarction

Tameto Naoi; Mitsuya Morita; Tadataka Kawakami; Shigeru Fujimoto

doi:10.2169/internalmedicine.0283-17

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Ipsiversive Ocular Torsion, Skew Deviation, and Hearing Loss as Initial Signs of Anterior Inferior Cerebellar Artery Infarction

Tameto Naoi, Mitsuya Morita, Tadataka Kawakami, Shigeru Fujimoto

著者情報

キーワード: ocular tilt reaction, ocular torsion, skew deviation, head tilt, middle cerebellar peduncle, inner ear

ジャーナルオープンアクセス早期公開

論文ID: 0283-17

DOI https://doi.org/10.2169/internalmedicine.0283-17

この記事には本公開記事があります。

The final version of this article is now available: Vol. 57 (2018), No. 13 pp. 1925-1927

詳細

抄録

A 67-year-old man with hypertension and type 2 diabetes mellitus was admitted to our hospital because of left hearing loss and vertical diplopia. A neurological examination showed ocular torsion, skew deviation, and sensorineural hearing loss in the left ear. Brainstem and cerebellar neurological signs were not observed. Left middle cerebellar peduncle infarction was evident on magnetic resonance imaging. He was treated with antiplatelet, however, the infarct progressed after this administration. Ocular tilt reaction (OTR) involves the triad of ocular torsion, skew deviation, and head tilt. Ipsiversive OTR components associated with hearing loss can be early diagnostic signs of anterior inferior cerebellar artery infarction.

責任著者(Corresponding author)

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