Inner-Ear Symptom May Herald Basilar Artery Occlusion

Inner-Ear Symptom May Herald Basilar Artery Occlusion

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A 75-year-old Japanese man suddenly experienced right cochlear and vestibular dysfunction.Basilar artery occlusion and silent right cerebellar infarction were identified 3 days later.These were treated with intravenous ozagrel (an antiplatelet agent) and edaravone, a free-radical scavenger.

The patient did not develop cerebello-brainstem signs.His first verona wig sign most probably reflected a right labyrinthine artery occlusion that heralded, or occurred together with, the basilar artery occlusion.This case highlights the possibility that a sudden inner ear dysfunction puffy spa headband may herald a basilar stroke.

Clinicians should therefore initiate appropriate therapy to prevent life-threatening brainstem complications.