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Heart Sounds

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Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss

Published on: January 25, 2016

A cardiac cause for deafness.

Kushal Naha¹, G Vivek, Ranjan K Shetty

¹Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.

BMJ Case Reports

|October 30, 2013

Summary

This summary is machine-generated.

A diabetic man with heart disease experienced sudden deafness due to bilateral temporal lobe strokes. This case highlights cardioembolic stroke as a crucial consideration for neurological symptoms in cardiac patients.

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Area of Science:

Neurology
Cardiology
Otolaryngology

Background:

A 49-year-old male with diabetes and myocardial infarction history presented with 2 weeks of deafness.
Initial otorhinolaryngology assessment suggested sensorineural hearing loss.

Observation:

Cardiac evaluation revealed an apical left ventricular clot.
Neurological reassessment and cranial MRI indicated cortical deafness and auditory agnosia.
Bilateral temporal infarcts were identified as the cause.

Findings:

Doppler and MRI excluded carotid artery thrombosis.
The temporal infarcts were determined to be of cardioembolic origin.
This case underscores the link between cardiac conditions and neurological deficits.

Implications:

Cardioembolic stroke should be considered in patients with cardiac disease presenting with neurological symptoms.
This diagnosis is critical for appropriate management and prevention of further embolic events.
Highlights the importance of a multidisciplinary approach in complex cases involving cardiac and neurological systems.