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Case Report
A Case of Delayed Audiovestibulopathy after Posterior Circulation Ischemic Stroke
Hyun Su Lee, Eun Kyung Jeon, Dong Hwan Kwon, Tae Hoon Kong
Res Vestib Sci. 2023;22(3):77-82.   Published online September 15, 2023
DOI: https://doi.org/10.21790/rvs.2023.22.3.77
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AbstractAbstract PDF
Distinguishing central and peripheral causes of dizziness is vital. A case is presented where a 42-year-old man with a history of posterior circulation ischemic stroke developed acute unilateral vestibulopathy with hearing loss. Clinical examination revealed signs of vestibular dysfunction on the left side. Audiometry confirmed deafness on the left, but imaging ruled out new central issues. The patient was diagnosed with audiovestibulopathy and treated with steroids, antiviral agents, intratympanic injections, and hyperbaric oxygen therapy. Hearing loss persisted, but dizziness improved with vestibular rehabilitation. Poststroke patients should be closely monitored for peripheral complications. Further research should explore the benefits of antiplatelet therapy in vascular-related conditions, even without clear central lesions.

Res Vestib Sci : Research in Vestibular Science