Bilateral intracranial vertebral artery dissection presenting as sudden bilateral hearing loss

Intracranial Vertebral Artery Dissections: Evolving Perspectives

“…As many as 8%, are asymptomatic and represent an incidental finding on imaging of unrelated pathology, such as symptomatic internal carotid dissections and sinus thrombosis 17,58,59 . Nevertheless, symptomatic patients may complain of nonspecific symptoms, including headache, vertigo, nausea/vomiting, tinnitus, double vision, hearing loss, dysesthesia, and dysphasia 17,60 . Headache, one of the most commonly cited complaints following vAD, often fails to be associated with distinguishing features 61 .…”

Dissecting basilar artery aneurysm manifesting as sudden sensorineural hearing loss: a case report and literature review

“…7 The internal auditory artery, which feeds the inner ear, is closely related to the occurrence of sudden sensorineural hearing loss, with the main causes in this situation being arteritis, atherosclerosis, and arterial dissection, as we reported in the current case. 8,9 The blood of the inner ear is supplied by the internal auditory artery originating from the anterior inferior cerebellar artery. The anterior inferior cerebellar artery arises from the vertebrobasilar artery.…”

Sensorineural Hearing Loss Due to Vertebrobasilar Artery Ischemia-Illustrative Case and Literature Review

“…The interpeak latencies of waves I-III-V are prolonged in patients with retrocochlear hearing loss [33,34,62]. Retrocochlear hearing loss is associated with ischemic lesions that involve the central auditory pathway [34,57,62,71,[73][74][75][76][77], and episodes of vertigo are the most frequent (62%), and often the initial (19-48%), symptom [36,78]. The caloric response is decreased or is absent in 20-86% [34,79].…”