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KMID : 0858620140180020080
Korean Journal of Audiology
2014 Volume.18 No. 2 p.80 ~ p.84
A Case of Acute Bilateral Retrocochlear Hearing Loss as an Initial Symptom of Unilateral Thalamic Hemorrhage
Park Min-Joon

Yoon Sung-Won
Kim Kang-Hyeon
Kim Young-Jin
Abstract
A speech discrimination test is a test using a list of 25 phonetically balanced monosyllables. It is often overlooked but significant enough for pure tone audiometry. Many physicians have performed pure tone audiometry but without a speech discrimination test. A 73-year-old woman visited our clinic complaining of sudden bilateral hearing loss. Pure tone audiometry showed only bilateral high frequency loss. However, speech discrimination had decreased markedly. We decided to follow-up after 1 week of Ginexin-F¢ç (ginkgo leaf extract) and Nafril¢ç (nafronyl oxalate). She felt a gait disturbance within 2 days. Magnetic resonance imaging revealed a left thalamic hemorrhage. After a 1 month hospitalization, the hematoma subsided, and speech discrimination recovered 3 months later. Acute hearing loss due to thalamic hemorrhage that recovered has never been reported. We report the first case of retrocochlear hearing loss that occurred with a thalamic hemorrhage in a patient who recovered.
KEYWORD
Thalamus, Retrocochlear disease, Hearing loss, Speech discrimination tests
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