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Surdité bilatérale suivie d'une diplégie faciale révélatrice d'une occlusion du tronc basilaire

GUIDOUX C; GARCIN B; CLERY MELIN ML; BLANC R; JOUVENT E; HOSSEINI H
REV NEUROL (Paris) , 2006, vol. 162, n° 5, p. 637-639
Doc n°: 126022
Localisation : Documentation IRR
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, AC231 - ATTEINTES DES NERFS CRANIENS, AD92 - AUDITION

We report the case of a patient who presented successively sudden bilateral deafness and facial diplegia in correlation with a brain stem stroke but without any ischemic pontine lesion. DISCUSSION: Unlike our case, all of the earlier publications, have reported the presence of ischemic pontine lesions in patients with bilateral deafness and facial diplegia. Selective vulnerability of inner ear to ischemia has been hypothesized but cannot explain the facial diplegia. CONCLUSION:
Our case would suggest extra-neuraxis failure by ischemia of the acoustico-facial nerve.

Langue : FRANCAIS

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