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Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
Published on: February 29, 2020
[Megadolichobasilar anomaly causing acute deafness with vertigo].
M H Unkelbach1, A Radeloff, A Bink
1Zentrum der Hals-Nasen-Ohrenheilkunde, Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt am Main, -, Deutschland. unkelbach_m@klinik.uni-wuerzburg.de
HNO
|December 5, 2006
Summary
Megadolichobasilar anomaly can cause serious neurological issues. A patient with this condition and a basilar artery aneurysm experienced vertigo and deafness due to blocked blood flow, with deafness being permanent.
Area of Science:
- Vascular Neurology
- Neuro-otology
Background:
- Megadolichobasilar anomaly is a basilar artery dilation linked to hypertension.
- It can lead to cerebellopontine angle syndromes or vertebrobasilar infarcts.
Observation:
- A patient with megadolichobasilar anomaly and a partially thrombosed fusiform basilar artery aneurysm presented with sudden vertigo.
- This was followed by hearing loss attributed to thromboembolic occlusion of the labyrinthine artery.
Findings:
- The patient's vertigo resolved over time, consistent with a vascular etiology.
- However, the deafness resulting from labyrinthine artery occlusion persisted.
Implications:
- This case highlights the potential for complex vascular events in megadolichobasilar anomaly.
- It underscores the varied and sometimes permanent neurological deficits that can arise from basilar artery pathology.
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