a Record control number 000208799600019

a ISSN 1308-7649

a Original cataloging agency NEU GrandLibrary

a Language code of text/sound track or separate title eng

a Classification number WV100.3

b Item number .S66 2011

a Personal name Tarhan, Erkan.

h Medium Electronic Document

a Title Spontaneous Intracranial Hypotension Syndrome with Bilateral Hearing Loss and Hyperacusia: A Case Report and Review of the Literature.

c Statement of responsibility, etc Erkan Tarhan, Birgul Bastan, Aykut Recep Aktas, Belde Tarhan, Mustafa Asim Safak.

c Date of publication, distribution, etc 2011.

b Name of publisher, distributor, etc Mediterranean Soc Otology & Audiology,

a Place of publication, distribution, etc Ankara :

a Summary, etc Objective: To present a case with bilateral-hearing loss, hyperacusia, and dizziness as components of spontaneous intracranial mimicking labyrinthine hydrops. Methods: Herein, in addition to a literature review, we present a case of spontaneous intracranial hypotension syndrome that was the cause of otologic symptoms, which was successfully treated with a high-volume epidural blood patch. Results: A 40-year-old woman presented with orthostatic headache, emesis, dizziness, bilateral ear fullness, hyperacusia, and hearing loss. Audiography showed bilateral low-frequency hearing loss. Cranial magnetic resonance imaging (MRI) and MRI myelography showed increased pachymeningeal contrast enhancement, subdural collections, venous engorgement of the internal acoustic canals, and an extrathecal cerebrospinal (CSF) fluid leak. Lumbar puncture opening pressure in the lateral decubitus position was 50 mmH(2)O. CSF protein, microscopic examination, and culture were normal. The patient was diagnosed with spontaneous intracranial hypotension syndrome. After conservative treatment failed a high-volume epidural blood patch was applied. The patient had no otologic complaints after this treatment and had normal audiogram results. Additionally, follow-up cranial MRI showed minimal pachymeningeal contrast enhancement and the absence of subdural collections. Conclusion: Spontaneous intracranial hypotension syndrome, which is curable, should be considered in patients with orthostatic headache and symptoms mimicking labyrinthine hydrops.

a Topical term or geographic name as entry element Otorhinolaryngology

a Topical term or geographic name as entry element Near East University Article

a Topical term or geographic name as entry element Yakın Doğu Üniversitesi Makale

g Relationship information 2011, Vol 7 Issue 2, p271-277

t Title Journal Of International Advanced Otology

z International Standard Book Number 13087649