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Clinical characteristics of cerebral hemorrhage with bilateral sudden deafness as the first symptom

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Abstract

Objective

To summarize and analyze the clinical data of 12 Chinese patients of cerebral hemorrhage with bilateral sudden deafness as the first symptom and to explore the relationship between cerebral hemorrhage and bilateral sudden deafness.

Methods

Retrospective analysis of clinical data of patients, including age, clinical manifestations, location of cerebral hemorrhage, hearing loss, and recovery.

Results

The average age of onset in 12 patients was 53.92 years, 9 had a history of hypertension, 7 had a history of stroke, and 6 had typical stroke symptoms. There were 7 cases of basal ganglia hemorrhage; 2 cases of cerebellum hemorrhage; and 1 case of pontine hemorrhage, temporal lobe hemorrhage, and thalamus infarction. The auditory brainstem evoked potential test results of 3 patients were normal, and 5 of 6 patients who completed pure tone audiometry had hearing impairment. Five out of 9 patients had basically or completely recovered hearing.

Conclusion

The results showed that patients were mostly middle-aged and elderly with no typical stroke symptoms, and a history of stroke and hypertension increased the risk of hearing loss. The cause of hearing loss in patients with cerebral hemorrhage may be related to the damage of the hearing conduction pathway or (and) the lack of blood supply to the central auditory nervous system. Detecting hearing impairment in time and actively intervening can help most patients to improve their hearing significantly. The degree of hearing damage and recovery is related to the bleeding site, the amount of bleeding, and the timely treatment.

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Data availability

The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.

Abbreviations

SSNHL:

Sudden sensorineural hearing loss

CT:

Computed tomography

MRI:

Magnetic resonance imaging

MRA:

Magnetic resonance angiography

DSA:

Digital subtraction

AICA:

Anterior inferior celebellar artery

PICA:

Posterior inferior celebellar artery

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Acknowledgments

The authors wish to thank the patient and her family members for cooperation.

Author information

Authors and Affiliations

  1. Department of Neurology, The Second Affiliated Hospital of Nanchang University, No. 1, Minde Road, Nanchang, 330006, Jiangxi Province, China

    Yan Deng, Ming Zhang & Xueliang Qi

  2. Department of Neurosurgery, The Second Affiliated Hospital of Nanchang University, No. 1, Minde Road, Nanchang, 330006, Jiangxi Province, China

    Jin Shi

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  1. Yan Deng
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Contributions

YD performed the acquisition of data, analytical studies, and wrote the manuscript; JS performed the analytical studies; XQ and MZ conducted and performed the periodic clinical monitoring; XQ planned the study, checked the final form of the manuscript, and approved the final manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Xueliang Qi.

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Competing interests

The authors declare that they have no competing interests.

Ethics approval and consent to participate

This study was approved by the ethics committee of The Second Affiliated Hospital of Nanchang University. A written informed consent form was obtained from each study participant.

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Cite this article

Deng, Y., Shi, J., Zhang, M. et al. Clinical characteristics of cerebral hemorrhage with bilateral sudden deafness as the first symptom. Neurol Sci 42, 141–150 (2021). https://doi.org/10.1007/s10072-020-04515-1

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