Fluctuating hearing loss, episodic headache, and stroke with platelet hyperaggregability: coexistence of auditory neuropathy and cochlear hearing loss.

Abstract:

:We encountered a 10-year-old girl with fluctuating sensorineural hearing loss, episodic headache, and white matter stroke. Strenuous exercise, febrile illness, and general anesthesia all temporarily worsened hearing. Audiologic findings were asymmetric: left-sided retrocochlear dysfunction consistent with auditory neuropathy contrasted with cochlear hearing loss in the right ear. Platelets obtained during a headache-free period showed excessive responsiveness to collagen in vitro, while episodic elevations of thromboxane B(2) and thrombin-antithrombin III complex were noted in blood sampled during headache. Treatment of hyperaggregability of platelets with aspirin and antioxidant vitamins relieved headache, while adenosine triphosphate administration improved hearing thresholds. In this patient, hearing impairment and white matter strokes appeared to respectively related to impaired blood flow to the cochlea and white matter caused by platelet dysfunction triggered by physiologic stresses.

journal_name

Brain Dev

journal_title

Brain & development

authors

Nobutoki T,Sasaki M,Fukumizu M,Hanaoka S,Sugai K,Anzai Y,Kaga M

doi

10.1016/j.braindev.2005.03.012

keywords:

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

55-9

issue

1

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(05)00080-X

journal_volume

28

pub_type

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