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A case of superior cerebellar artery syndrome with contralateral hearing loss at onset
  1. T Murakami1,
  2. Y Ono1,
  3. N Akagi1,
  4. E Oshima1,
  5. Y Hamakawa1,
  6. N Omori1,
  7. M Shoji2,
  8. Y Hayashi3,
  9. K Abe4,
  10. Y Manabe5
  1. 1Department of Neurology, National Hospital Organization Okayama Medical Center, Okayama, Japan
  2. 2Department of Neurology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan
  3. 3Department of Neurology, National Hospital Organization Okayama Medical Center, Okayama, Japan
  4. 4Department of Neurology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan
  5. 5Department of Neurology, National Hospital Organization Okayama Medical Center, Okayama, Japan
  1. Correspondence to:
 Dr Tetsuro Murakami
 Department of Neurology, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, Okayama 700-8558, Japan; neuroncc.okayama-u.ac.jp

https://doi.org/10.1136/jnnp.2004.058735

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    Deafness is rare in ischaemic stroke but sometimes occurs as a result of lower pons infarction. The main cause of such deafness is occlusion of the anterior inferior cerebellar artery (AICA); occlusion of the superior cerebellar artery (SCA), which perfuses the higher pons, causes SCA syndrome and also results in deafness but is extremely rare.1 In the present report, we describe a patient with SCA syndrome, whose initial complaint was contralateral hearing loss.

    Case report

    A 64 year old male with untreated hyperglycaemia and hypertension was admitted 4 h after the sudden onset of deafness in his right ear. Hearing loss was the only complaint and other neurological signs were absent. Right sensorineural hearing loss was revealed by a hearing test (fig 1A). After …

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    Footnotes

    • Competing interests: none declared

    • The patient described in this letter consented to his details being published