Ipsiversive Ocular Torsion, Skew Deviation, and Hearing Loss as Initial Signs of Anterior Inferior Cerebellar Artery Infarction

A 67-year-old man with hypertension and type 2 diabetes mellitus was admitted to our hospital because of left hearing loss and vertical diplopia. A neurological examination showed ocular torsion, skew deviation, and sensorineural hearing loss in the left ear. Brainstem and cerebellar neurological si...

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Autores principales: Naoi, Tameto, Morita, Mitsuya, Kawakami, Tadataka, Fujimoto, Shigeru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064707/
https://www.ncbi.nlm.nih.gov/pubmed/29434137
http://dx.doi.org/10.2169/internalmedicine.0283-17
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author Naoi, Tameto
Morita, Mitsuya
Kawakami, Tadataka
Fujimoto, Shigeru
author_facet Naoi, Tameto
Morita, Mitsuya
Kawakami, Tadataka
Fujimoto, Shigeru
author_sort Naoi, Tameto
collection PubMed
description A 67-year-old man with hypertension and type 2 diabetes mellitus was admitted to our hospital because of left hearing loss and vertical diplopia. A neurological examination showed ocular torsion, skew deviation, and sensorineural hearing loss in the left ear. Brainstem and cerebellar neurological signs were not observed. Left middle cerebellar peduncle infarction was evident on magnetic resonance imaging. He was treated with antiplatelet, however, the infarct progressed after this administration. Ocular tilt reaction (OTR) involves the triad of ocular torsion, skew deviation, and head tilt. Ipsiversive OTR components associated with hearing loss can be early diagnostic signs of anterior inferior cerebellar artery infarction.
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spelling pubmed-60647072018-07-30 Ipsiversive Ocular Torsion, Skew Deviation, and Hearing Loss as Initial Signs of Anterior Inferior Cerebellar Artery Infarction Naoi, Tameto Morita, Mitsuya Kawakami, Tadataka Fujimoto, Shigeru Intern Med Case Report A 67-year-old man with hypertension and type 2 diabetes mellitus was admitted to our hospital because of left hearing loss and vertical diplopia. A neurological examination showed ocular torsion, skew deviation, and sensorineural hearing loss in the left ear. Brainstem and cerebellar neurological signs were not observed. Left middle cerebellar peduncle infarction was evident on magnetic resonance imaging. He was treated with antiplatelet, however, the infarct progressed after this administration. Ocular tilt reaction (OTR) involves the triad of ocular torsion, skew deviation, and head tilt. Ipsiversive OTR components associated with hearing loss can be early diagnostic signs of anterior inferior cerebellar artery infarction. The Japanese Society of Internal Medicine 2018-02-09 2018-07-01 /pmc/articles/PMC6064707/ /pubmed/29434137 http://dx.doi.org/10.2169/internalmedicine.0283-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Naoi, Tameto
Morita, Mitsuya
Kawakami, Tadataka
Fujimoto, Shigeru
Ipsiversive Ocular Torsion, Skew Deviation, and Hearing Loss as Initial Signs of Anterior Inferior Cerebellar Artery Infarction
title Ipsiversive Ocular Torsion, Skew Deviation, and Hearing Loss as Initial Signs of Anterior Inferior Cerebellar Artery Infarction
title_full Ipsiversive Ocular Torsion, Skew Deviation, and Hearing Loss as Initial Signs of Anterior Inferior Cerebellar Artery Infarction
title_fullStr Ipsiversive Ocular Torsion, Skew Deviation, and Hearing Loss as Initial Signs of Anterior Inferior Cerebellar Artery Infarction
title_full_unstemmed Ipsiversive Ocular Torsion, Skew Deviation, and Hearing Loss as Initial Signs of Anterior Inferior Cerebellar Artery Infarction
title_short Ipsiversive Ocular Torsion, Skew Deviation, and Hearing Loss as Initial Signs of Anterior Inferior Cerebellar Artery Infarction
title_sort ipsiversive ocular torsion, skew deviation, and hearing loss as initial signs of anterior inferior cerebellar artery infarction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064707/
https://www.ncbi.nlm.nih.gov/pubmed/29434137
http://dx.doi.org/10.2169/internalmedicine.0283-17
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