Bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with Moyamoya disease: case report
Abstract Background Moyamoya disease (MMD) is a chronic cerebrovascular occlusive disease that can results in a variety of neurological deficits. We describe a very rare presentation of MMD in the form of bilateral sudden sensorineural hearing loss after a second attack of subcortical cerebral haemo...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-08-01
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| Series: | Egyptian Journal of Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41984-023-00212-1 |
| _version_ | 1797752817043111936 |
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| author | Mohamed Nabil Elmarawany |
| author_facet | Mohamed Nabil Elmarawany |
| author_sort | Mohamed Nabil Elmarawany |
| collection | DOAJ |
| description | Abstract Background Moyamoya disease (MMD) is a chronic cerebrovascular occlusive disease that can results in a variety of neurological deficits. We describe a very rare presentation of MMD in the form of bilateral sudden sensorineural hearing loss after a second attack of subcortical cerebral haemorrhage. Case presentation A 44-year-old female presented with bilateral sudden sensorineural hearing loss (SSNHL) secondary to an acute intracerebral haemorrhage in the left temporoparietal region. She had a previous haemorrhagic event in the right temporoparietal region two years ago. The two haemorrhagic events have apparently led to interruption of the auditory pathways bilaterally, resulting in sudden complete deafness. Digital subtraction angiography was done, and it showed bilateral occlusion of the internal carotid arteries, with the abnormal anastomotic vascular network at the base of the brain characteristic for MMD. Conclusions Subcortical hemorrhage due to MMD is a potential cause of bilateral SSNHL that can be diagnosed with early proper imaging. Bilateral damage of the auditory pathways is the likely cause of cortical deafness in this clinical scenario. |
| first_indexed | 2024-03-12T17:08:56Z |
| format | Article |
| id | doaj.art-1bff93f442c4496990ecc1e79d15dfe0 |
| institution | Directory Open Access Journal |
| issn | 2520-8225 |
| language | English |
| last_indexed | 2024-03-12T17:08:56Z |
| publishDate | 2023-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj.art-1bff93f442c4496990ecc1e79d15dfe02023-08-06T11:09:39ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252023-08-013811610.1186/s41984-023-00212-1Bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with Moyamoya disease: case reportMohamed Nabil Elmarawany0Department of Neurosurgery, Faculty of Medicine, Menoufia UniversityAbstract Background Moyamoya disease (MMD) is a chronic cerebrovascular occlusive disease that can results in a variety of neurological deficits. We describe a very rare presentation of MMD in the form of bilateral sudden sensorineural hearing loss after a second attack of subcortical cerebral haemorrhage. Case presentation A 44-year-old female presented with bilateral sudden sensorineural hearing loss (SSNHL) secondary to an acute intracerebral haemorrhage in the left temporoparietal region. She had a previous haemorrhagic event in the right temporoparietal region two years ago. The two haemorrhagic events have apparently led to interruption of the auditory pathways bilaterally, resulting in sudden complete deafness. Digital subtraction angiography was done, and it showed bilateral occlusion of the internal carotid arteries, with the abnormal anastomotic vascular network at the base of the brain characteristic for MMD. Conclusions Subcortical hemorrhage due to MMD is a potential cause of bilateral SSNHL that can be diagnosed with early proper imaging. Bilateral damage of the auditory pathways is the likely cause of cortical deafness in this clinical scenario.https://doi.org/10.1186/s41984-023-00212-1MoyamoyaDeafnessSudden sensorineural hearing loss |
| spellingShingle | Mohamed Nabil Elmarawany Bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with Moyamoya disease: case report Egyptian Journal of Neurosurgery Moyamoya Deafness Sudden sensorineural hearing loss |
| title | Bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with Moyamoya disease: case report |
| title_full | Bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with Moyamoya disease: case report |
| title_fullStr | Bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with Moyamoya disease: case report |
| title_full_unstemmed | Bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with Moyamoya disease: case report |
| title_short | Bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with Moyamoya disease: case report |
| title_sort | bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with moyamoya disease case report |
| topic | Moyamoya Deafness Sudden sensorineural hearing loss |
| url | https://doi.org/10.1186/s41984-023-00212-1 |
| work_keys_str_mv | AT mohamednabilelmarawany bilateralsuddensensorineuralhearinglossduetosubcorticalcerebralhemorrhageinapatientwithmoyamoyadiseasecasereport |