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Management of tinnitus induced by brainstem and cerebellar infarction associated with complications of cerebello-pontine angle surgery.

AbstractFollowing surgery in the USA in 1992 to remove a large right cerebello-pontine angle tumour, a 39-year-old woman developed severe brainstem and cerebellar infarction. This left her with severe visual impairment and ataxia. She became able to communicate by means of an adapted finger-spelling alphabet. She had total hearing loss in the right ear and a mild to moderately severe sensorineural hearing loss in the left ear, and severe tinnitus heard throughout the head. Additionally, she experienced hypersensitivity to sound above normal conversational levels, which evoked a synaesthetic feeling of coldness across her upper torso. Previous linear analogue hearing aid fitting had not been beneficial for either hearing or tinnitus. Careful fitting of a digital hearing aid, together with tinnitus counselling, inhibited the patient's tinnitus to 25 per cent of its former intensity after a six month acclimatisation period, and improved communication.
AuthorsS Brewis, D M Baguley (Affiliation: Department of Audiology, Addenbrooke's Hospital, Cambridge, UK.)
JournalThe Journal of laryngology and otology (J Laryngol Otol) Vol. 121 Issue 4 Pg. 393-4 (Apr 2007) ISSN: 1748-5460 England
PMID17403265 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Brain Stem Infarctions (complications)
  • Cerebellar Neoplasms (complications, surgery)
  • Cerebellopontine Angle
  • Cerebral Infarction (complications)
  • Female
  • Hearing Aids
  • Hearing Loss (etiology)
  • Humans
  • Meningioma (complications, surgery)
  • Tinnitus (etiology, rehabilitation)
  • Treatment Outcome