RT Journal
A1 Gattringer T, Enzinger C, Birner A, et al
T1 ACute unilateral hearing loss as an early symptom of lateral cerebral sinus venous thrombosis
JF Archives of Neurology
JO Archives of Neurology
YR 2012
FD November 1
VO 69
IS 11
SP 1508
OP 1511
DO 10.1001/archneurol.2012.346
UL http://dx.doi.org/10.1001/archneurol.2012.346
AB Background 
                  Increasing availability of neuroimaging has facilitated the diagnosis of cerebral sinus venous thrombosis (CSVT). However, CSVT may also present with unspecific or atypical symptoms, resulting in diagnostic delay. Single reports suggested otologic symptoms as such pitfalls.Objective 
                  To screen patients with CSVT for otologic symptoms.Design 
                  Ten-year retrospective case series.Setting 
                  Primary and tertiary care university clinic.Patients 
                  Thirty-eight patients with CSVT.Results 
                  Of 38 patients with CSVT, 3 individuals had acute unilateral hearing loss, 2 of which also had concomitant tinnitus and headache, and were initially treated at the ear, nose, and throat department. Magnetic resonance imaging after hospital discharge showed ipsilateral thrombosis of the lateral venous sinus. Two female patients took oral contraceptives, 1 of whom also had a heterozygous factor V Leiden mutation.Conclusions 
                  Cerebral sinus venous thrombosis may present with unspecific symptoms such as acute unilateral hearing loss. If in conjunction with headache or risk factors for venous thrombosis, the suspicion of ipsilateral lateral CSVT should prompt rapid imaging including venography.