Mitral stenosis presenting with acute hearing loss
2006
Mitral Stenosis and Hearing Loss
publication
Evidence: moderate
Author Information
Author(s): Gur Chamutal, Gadi Lalazar, Guy Raphaeli, Dan Gilon, Eldad Ben-Chetrit
Primary Institution: Hadassah Medical Center, Israel
Hypothesis
Can acute hearing loss be a presenting symptom of mitral stenosis?
Conclusion
The patient experienced acute hearing loss due to cardiac emboli related to rheumatic mitral stenosis, leading to a stroke.
Supporting Evidence
- Acute hearing loss can be a rare symptom of ischemia in the vertebrobasilar system.
- The patient was diagnosed with rheumatic mitral stenosis after experiencing multiple embolic events.
- Thrombolysis successfully recanalized the occluded artery, restoring consciousness.
Takeaway
A woman lost her hearing because of a heart problem, which later caused a stroke. Doctors found out that her heart valve was not working well.
Methodology
The case involved clinical examination, imaging studies (CT, MRI), and echocardiography.
Limitations
The initial CT scans failed to detect the pathology, which delayed diagnosis.
Participant Demographics
A 47-year-old woman.
Digital Object Identifier (DOI)
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