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Case Reports
. 2012 Oct;33(8):e65-6.
doi: 10.1097/MAO.0b013e318254ed98.

Spontaneous intracranial hypotension presenting with severe sensorineural hearing loss and headache

Affiliations
Case Reports

Spontaneous intracranial hypotension presenting with severe sensorineural hearing loss and headache

Si Chen et al. Otol Neurotol. 2012 Oct.
No abstract available

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Conflict of interest statement

The authors disclose no conflicts of interest.

Figures

FIG. 1
FIG. 1
Serial audiograms demonstrate progressive right sensorineural hearing loss for 4 years’ time. Black solid line indicates audiogram from 2007; gray solid line, 2008; dashed line, 2009; dotted line, 2010. Right word recognition scores were 100% until 2010, when it dropped to 92%. Acoustic reflexes were absent in the right ear in all audiograms obtained.
FIG. 2
FIG. 2
A, Sagittal T1-weighted magnetic resonance image from 2010 demonstrates caudal displacement of intracranial contents, including descent of the cerebellar tonsils with crowding of the foramen magnum (arrow) and flattening of the ventral pons against the clivus (arrowhead). B, Sagittal T1-weighted magnetic resonance image with gadolinium demonstrating prominent sagittal sinus (arrowheads) and transverse sinus (arrow). C, Coronal T1-weighted magnetic resonance image with contrast demonstrating diffuse dural enhancement (arrowheads). D, Coronal T1-weighted magnetic resonance image with contrast showing prominent enhancement resulting from venous engorgement of the porous acousticus of the internal auditory canals, with greater enhancement of the right internal auditory canal (arrowhead) than the left. No mass lesions are present within the internal auditory canals or cerebellopontine angles.

References

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