{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:02:53Z","timestamp":1781870573070,"version":"3.54.5"},"reference-count":21,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2018,6,6]],"date-time":"2018-06-06T00:00:00Z","timestamp":1528243200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiology Research"],"abstract":"<jats:p>We report a case of a 54-year old female patient, complaining for chronic dizziness, hearing loss, tension headaches without aura, postural instability and gait dysfunction. The patient referred having these symptoms from 1992, but the last few months she experienced a noticeable aggravation of the symptoms. A magnetic resonance imaging test revealed a triventricular hydrocephalus, not associated with signs of intracranial hypertension decompensation. The ENT-Audiology evaluation revealed a bilateral sensorineural hearing loss with a conductive component, video-nystagmography resulted in an areflexia of the right ear and a reduced vestibular activity for the left ear. Auditory brainstem response test was also carried out and showed pathologic findings for the latencies of the waves I-III, III-V and I-V bilaterally but more significant in the right ear. On January 2016 the patient had endoscopic third ventriculostomy. On the follow up the patient referred an important subjective improvement regarding instability and gait dysfunction. In this paper we study the correlation between hydrocephalus, hearing loss and vestibular dysfunction.<\/jats:p>","DOI":"10.4081\/audiores.2018.200","type":"journal-article","created":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T08:47:01Z","timestamp":1530694021000},"page":"200","source":"Crossref","is-referenced-by-count":3,"title":["Asymmetric Hearing Loss and Chronic Dizziness in a Patient with Idiopathic Normal Pressure Hydrocephalus"],"prefix":"10.3390","volume":"8","author":[{"given":"Theodoros","family":"Varakliotis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Maspes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vittoria","family":"Di Rubbo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Cisternino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Lauriello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Vitti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Eibenstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2018,6,6]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"510","DOI":"10.3766\/jaaa.14.9.6","article-title":"Unilateral hearing loss in children with shunt-treated hydrocephalus","volume":"14","author":"Spirakis","year":"2003","journal-title":"J Am Acad Audiol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1007\/s10143-011-0316-7","article-title":"Natural history of idiopathic normal-pressure hydrocephalus","volume":"34","author":"Toma","year":"2011","journal-title":"Neurosurg Rev"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1227\/01.neu.0000316271.90090.b9","article-title":"Diagnosis, treatment, and analysis of long-term outcomes in idiopathic normal-pressure hydrocephalus","volume":"62","author":"McGirt","year":"2008","journal-title":"Neurosurgery"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/0022-510X(65)90016-X","article-title":"The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure. Observations on cerebrospinal fluid hydrodynamics","volume":"2","author":"Hakim","year":"1965","journal-title":"J Neurol Sci"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1590\/1806-9282.61.03.258","article-title":"Evidences in the treatment of idiopathic normal pressure hydrocephalus","volume":"61","author":"de Oliveira","year":"2015","journal-title":"Rev Assoc Med Bras"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1111\/j.1600-0404.2007.00982.x","article-title":"Prevalence of probable idiopathic normal pressure hydrocephalus in a Norwegian population","volume":"118","author":"Brean","year":"2008","journal-title":"Acta Neurol Scand"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1227\/01.NEU.0000168184.01002.60","article-title":"The value of supplemental prognostic tests for the preoperative assessment of idiopathic normal-pressure hydrocephalus","volume":"57","author":"Marmarou","year":"2005","journal-title":"Neurosurgery"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"S4","DOI":"10.1227\/01.NEU.0000168185.29659.C5","article-title":"Diagnosing idiopathic normal-pressure hydrocephalus","volume":"57","author":"Relkin","year":"2005","journal-title":"Neurosurgery"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1159\/000055960","article-title":"Long-term follow-up data from the shunt design trial","volume":"33","author":"Kestle","year":"2000","journal-title":"Pediatr Neurosurg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/978-3-7091-0923-6_24","article-title":"What is the appropriate shunt system for normal pressure hydrocephalus?","volume":"113","author":"Chrissicopoulos","year":"2012","journal-title":"Acta Neurochir Suppl"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1034\/j.1600-0404.2002.01329.x","article-title":"Cerebral hemodynamics before and after shunting in normal pressure hydrocephalus","volume":"106","author":"Bakker","year":"2002","journal-title":"Acta Neurol Scand"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1007\/s00234-011-0871-1","article-title":"Alteration of brain viscoelasticity after shunt treatment in normal pressure hydrocephalus","volume":"54","author":"Freimann","year":"2012","journal-title":"Neuroradiology"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1227\/NEU.0000000000000129","article-title":"Inferior shortterm safety profile of endoscopic third ventriculostomy compared with ventriculoperitoneal shuntplacement for idiopathic normal-pressure hydrocephalus: a population-based study","volume":"73","author":"Chan","year":"2013","journal-title":"Neurosurgery"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1177\/019459988809900501","article-title":"ECoG results in perilymphatic fistula: clinical and experimental studies","volume":"99","author":"Arenberg","year":"1988","journal-title":"Otolaryngol Head Neck Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/0165-5876(89)90227-9","article-title":"Audiological findings of shunt-treated hydrocephalus in children","volume":"18","author":"Lopponen","year":"1989","journal-title":"Int J Ped Otolaryngol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1017\/S0022215100127719","article-title":"Hearing loss after neurosurgery. The influence of low cerebrospinal fluid pressure","volume":"108","author":"Walstead","year":"1994","journal-title":"J Laryngol Otol"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/0022-510X(73)90139-1","article-title":"Auditory function in raised intracranial pressure","volume":"18","author":"Tandon","year":"1973","journal-title":"J Neurol Sci"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"703","DOI":"10.3171\/jns.1983.59.4.0703","article-title":"Adult aqueductal stenosis with fluctuate hearing loss and vertigo","volume":"59","author":"Barlas","year":"1983","journal-title":"J Neurosurg"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"773","DOI":"10.3171\/jns.1999.90.4.0773","article-title":"Persistent bilateral hearing loss after shunt placement for hydrocephalus","volume":"90","author":"Stoeckli","year":"1999","journal-title":"J Neurosurg"},{"key":"ref20","article-title":"Bases of hearing science. 3rd ed","author":"Durrant","year":"1995"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/S0196-0709(88)80034-6","article-title":"An electrophysiologicalstudy of experimental perilymphatic fistula","volume":"9","author":"Funai","year":"1988","journal-title":"Am J Otolaryngol"}],"container-title":["Audiology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/audiologyresearch.org\/index.php\/audio\/article\/download\/200\/234","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/audiologyresearch.org\/index.php\/audio\/article\/download\/200\/243","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.mdpi.com\/2039-4349\/8\/1\/200\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T03:50:21Z","timestamp":1644465021000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4349\/8\/1\/200"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,6]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,3]]}},"alternative-id":["audiores.2018.200"],"URL":"https:\/\/doi.org\/10.4081\/audiores.2018.200","relation":{},"ISSN":["2039-4349"],"issn-type":[{"value":"2039-4349","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,6]]}}}