A Case of Medullary Infarction Presented Initial Symptoms Similar to Meniere’s Disease

다국어 초록 (Multilingual Abstract)

Fluctuating hearing loss and vertigo are the typical presentations of Meniere’s disease. However,it is unusual that fluctuating hearing loss and vertigo are caused by vertebral artery occlusionor cerebral infarction. Here, we described the case of a 54-year-old male patient withhypertension and diabetes mellitus who presented with fluctuating hearing loss in his leftear and severe whirling-type dizziness without associated neurological signs or symptoms.
Temporal magnetic resonance imaging (MRI) was normal. He was diagnosed with a possibleMeniere’s disease and started conservative treatment. Eight years later, the patient developeddysarthria and left-side weakness. Brain MRI revealed right anterior medullary infarction,and cerebral angiography showed occlusion of the right vertebral artery. In thiscase, we attempted to review the initial imaging study and reported the characteristics ofthe case.

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