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Stroke, Vol 24, 906-908, Copyright © 1993 by American Heart Association

ARTICLES

A case of tinnitus and hearing loss after cerebellar hemorrhage

Y Matsuda, T Inagawa and T Amano
Department of Neurosurgery, Shimane Prefectural Central Hospital, Japan.

BACKGROUND: Approximately 10% of cases of hypertensive intracerebral hemorrhage are cerebellar hemorrhage. We report a case of intracerebellar hemorrhage in which the initial symptoms were hearing loss and tinnitus. SUMMARY OF REPORT: A 45-year-old man suddenly complained of hearing loss and tinnitus on the right side. Computed tomography demonstrated a high-density area 1.2 cm in diameter in the right cerebellar peduncle. Because of enlargement of the high-density area, the patient underwent surgery based on the diagnosis of hypertensive intracerebellar hemorrhage, and the hematoma was evacuated. The right-sided acoustic nerve was remarkably swollen by a subpial hematoma. CONCLUSIONS: In this case, hemorrhage of the right cerebellar peduncle extended to the eighth nerve through the subpial space, causing hearing loss and tinnitus.