Labyrinthine infarction as a cause of acute cochleovestibular syndrome
https://doi.org/10.14412/2074-2711-2023-1-71-76
Abstract
Labyrinthine infarction is a rare variant of vertebrobasilar stroke. The disease requires differentiation from other causes of acute cochleovestibular deficiency, in particular, with viral labyrinthitis, which presents serious clinical difficulties. The article describes a clinical case of labyrinthine infarction in a patient with multiple cardiovascular risk factors. The diagnosis was made possible by the use of magnetic resonance imaging with delayed contrast enhancement. Modern data on clinical and instrumental diagnosis of the disease are presented.
About the Authors
A. A. Monak
Acad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
614990, Perm, Petropavlovskaya St., 26
Competing Interests:
There are no conflicts of interest.
N. A. Kaileva
Acad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
614990, Perm, Petropavlovskaya St., 26
Competing Interests:
There are no conflicts of interest.
A. A. Kulesh
Acad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia; City Clinical Hospital Four
Russian Federation
Competing Interests:
Russian Federation
Aleksey Aleksandrovich Kulesh
614990, Perm, Petropavlovskaya St., 26
614107, Perm, KIM St., 2
Competing Interests:
There are no conflicts of interest.
A. L. Guseva
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
117997, Moscow, Ostrovityanova St., 1
Competing Interests:
There are no conflicts of interest.
V. B. Usmanov
Acad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
614990, Perm, Petropavlovskaya St., 26
Competing Interests:
There are no conflicts of interest.
V. A. Parfenov
Department of Nervous Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
119021, Moscow, Rossolimo St., Build. 1, 11
Competing Interests:
There are no conflicts of interest.
References
1. Lee H, Kim JS, Chung EJ, et al. Infarction in the territory of anterior inferior cerebellar artery: spectrum of audiovestibular loss. Stroke. 2009 Dec;40(12):3745-51. doi:10.1161/STROKEAHA.109.564682
2. Kim HA, Lee H. Recent Advances in Understanding Audiovestibular Loss of a Vascular Cause. Stroke. 2017 Jan;19(1):61-6. doi:10.5853/jos.2016.00857
3. Kulesh AA, Dyomin DA, Guseva AL, et al. Vestibular vertigo in emergency neurology. Rossiiskiy nevrologicheskiy zhurnal. 2021;26(4):50-9. doi:10.30629/2658-7947-2021-26-4-50-59 (In Russ.).
4. Parfenov VA, Kulesh AA, Demin DA, et al. Vestibular vertigo in stroke and vestibular neuronitis. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2021;121(12-2):41-9. doi:10.17116/jnevro202112112241 (In Russ.).
5. Antonenko LM, Parfenov VA. Vestibular vertigo. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2020;120(6):125-30. doi:10.17116/jnevro2020120061125 (In Russ.).
6. Vanni S, Pecci R, Edlow JA, et al. Differential Diagnosis of Vertigo in the Emergency Department: A Prospective Validation Study of the STANDING Algorithm. Front Neurol. 2017 Nov;8:590. doi:10.3389/fneur.2017.00590
7. Newman-Toker DE, Kerber KA, Hsieh YH, et al. HINTS outperforms ABCD2 to screen for stroke in acute continuous vertigo and dizziness. Acad Emerg Med. 2013 Oct;20(10):986-96. doi:10.1111/acem.12223
8. Olivato S, Nizzoli S, Cavazzuti M, et al. e-NIHSS: an Expanded National Institutes of Health Stroke Scale Weighted for Anterior and Posterior Circulation Strokes. Stroke Cerebrovasc Dis. 2016 Dec;25(12):2953-7. doi:10.1016/j.jstrokecerebrovasdis.2016.08.011
9. Liqun Z, Park KH, Kim HJ, et al. Acute Unilateral Audiovestibulopathy due to Embolic Labyrinthine Infarction. Front Neurol. 2018 May;9:311. doi:10.3389/fneur.2018.00311
10. Lee H. Audiovestibular loss in anterior inferior cerebellar artery territory infarction: a window to early detection? J Neurol Sci. 2012 Feb;313(1-2):153-9. doi:10.1016/j.jns.2011.08.039
11. Kim JS, Lee H. Inner ear dysfunction due to vertebrobasilar ischemic stroke. Semin Neurol. 2009 Nov;29(5):534-40. doi:10.1055/s0029-1241037
12. Choi SY, Park JH, Kim HJ, Kim JS. Vestibulocochlear nerve infarction documented with diffusion-weighted MRI. J Neurol. 2015 May;262(5):1363-5. doi:10.1007/s00415-015-7715-6
13. Byun S, Lee JY, Kim BG, Hong HS. Acute vertigo and sensorineural hearing loss from infarction of the vestibulocochlear nerve: A case report. Medicine (Baltimore). 2018 Oct;97(41):e12777. doi:10.1097/MD.0000000000012777
14. Gurov AV, Levina YuV, Guseva AL, et al. The specific microbiological and clinical features of acute otitis media. Vestnik otorinolaringologii. 2018;83(1):36-9. doi:10.17116/otorino201883136-39 (In Russ.).
15. Carmona S, Martinez C, Zalazar G, et al. The Diagnostic Accuracy of Truncal Ataxia and HINTS as Cardinal Signs for Acute Vestibular Syndrome. Front Neurol. 2016 Aug 8;7:125. doi:10.3389/fneur.2016.00125
16. Newman-Toker DE, Curthoys IS, Halmagyi GM. Diagnosing Stroke in Acute Vertigo: The HINTS Family of Eye Movement Tests and the Future of the “Eye ECG”. Semin Neurol. 2015 Oct;35(5):506-21. doi:10.1055/s0035-1564298
17. Pogson JM, Taylor RL, Young AS, et al. Vertigo with sudden hearing loss: audio-vestibular characteristics. J Neurol. 2016 Oct;263(10):2086-96. doi:10.1007/s00415-016-8214-0
18. Haidara A, Peltier J, Zunon-Kipre Y, et al. Microsurgical Anatomy of the Labyrinthine Artery and Clinical Relevance. Turk Neurosurg. 2015;25(4):539-43. doi:10.5137/1019-5149.JTN.9136-13.0
19. Zhang K, Wang F, Zhang Y, et al. [Anatomic investigation of the labyrinthine artery]. Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Apr;37(2):103-5 (In Chinese).
20. Sato H, Kawagishi K. Labyrinthine artery detection in patients with idiopathic sudden sensorineural hearing loss by 7-T MRI. Otolaryngol Head Neck Surg. 2014 Mar;150(3):455-9. doi:10.1177/0194599813517990. Epub 2013 Dec 31.
21. Song CI, Pogson JM, Andresen NS, Ward BK. MRI With Gadolinium as a Measure of Blood-Labyrinth Barrier Integrity in Patients With Inner Ear Symptoms: A Scoping Review. Front Neurol. 2021 May;12:662264. doi:10.3389/fneur.2021.662264
22. Naganawa S. The Technical and Clinical Features of 3D-FLAIR in Neuroimaging. Magn Reson Med Sci. 2015;14(2):93-106. doi:10.2463/mrms.2014-0132
23. Mugler JP 3rd, Bao S, Mulkern RV, et al. Optimized single-slab three-dimensional spin-echo MR imaging of the brain. Radiology. 2000 Sep;216(3):891-9. doi:10.1148/radiology.216.3.r00au46891
24. Tagaya M, Yamazaki M, Teranishi M, et al. Endolymphatic hydrops and blood-labyrinth barrier in Mеniеre's disease. Acta Otolaryngol. 2011 May;131(5):474-9. doi:10.3109/00016489.2010.534114
25. Kim TY, Park DW, Lee YJ, et al. Comparison of Inner Ear Contrast Enhancement among Patients with Unilateral Inner Ear Symptoms in MR Images Obtained 10 Minutes and 4 Hours after Gadolinium Injection. AJNR Am J Neuroradiol. 2015 Dec;36(12):2367-72. doi:10.3174/ajnr.A4439
26. Byun H, Chung JH, Lee SH, et al. Clinical value of 4-hour delayed gadolinium-Enhanced 3D FLAIR MR Images in Acute Vestibular Neuritis. Laryngoscope. 2018 Aug;128(8):1946-51. doi:10.1002/lary.27084
27. Eliezer M, Maquet C, Horion J, et al. Detection of intralabyrinthine abnormalities using post-contrast delayed 3D-FLAIR MRI sequences in patients with acute vestibular syndrome. Eur Radiol. 2019 Jun;29(6):2760-9. doi:10.1007/s00330-018-5825-0
28. Eliezer M, Verillaud B, Guichard JP, et al. Labyrinthine infarction caused by vertebral artery dissection: consideration based on MRI. J Neurol. 2019 Oct;266(10):2575-7. doi:10.1007/s00415-019-09456-0
29. Murofushi T, Tsubota M, Suzuki D. Idiopathic acute high-tone sensorineural hearing loss accompanied by vertigo: vestibulocochlear artery syndrome? Consideration based on VEMP and vHIT. J Neurol. 2019 Aug;266(8):2066-7. doi:10.1007/s00415-019-09353-6
30. Eliezer M, Toupet M, Guichard JP, et al. Cochleovestibular artery syndrome: consideration based on VHIT, VEMP, and inner ear MRI. J Neurol. 2019 Sep;266(9):2327-9. doi:10.1007/s00415-019-09407-9
31. Rambold H, Boenki J, Stritzke G, et al. Differential vestibular dysfunction in sudden unilateral hearing loss. Neurology. 2005 Jan 11;64(1):148-51. doi:10.1212/01.WNL.0000148599.18397.D2
Review
For citations:
Monak AA, Kaileva NA, Kulesh AA, Guseva AL, Usmanov VB, Parfenov VA. Labyrinthine infarction as a cause of acute cochleovestibular syndrome. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2023;15(1):71-76. (In Russ.) https://doi.org/10.14412/2074-2711-2023-1-71-76
Views:
1237
Email this article 