Abstract
A 77-year-old man who suffered from bilateral hearing disturbance followed by apparent cerebral infarc-tion signs is reported. He complained of right hearing disturbance and, after 4 hours, left hearing disturbance. Neurological examinations revealed gaze-evoked nystagmus to right-ward gaze.The next day, right hemi-paresis and paralytic aphonia appeared, and treatment for cerebral infarction was initiated. A CT scan at 4 days after the onset revealed an infarcted area in the left middle pons, and 3D-CTA after 6 days showed that the middle portion of the basilar artery was occluded. 3D-CTA after 1 month demonstrated a recanalization of the basilar artery.
Since hearing disturbance could be an initial symptom of cerebrovascular disease, closer observation of the cerebral signs and further investigations of the cerebral artery are necessary.
