{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T13:37:53Z","timestamp":1773495473139,"version":"3.50.1"},"reference-count":5,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T00:00:00Z","timestamp":1603152000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Case Presentation: A 53-year-old male presented to the emergency department with acute onset of bilateral hearing loss as well as vertigo and severe vomiting. The Head Impulse\u2013 Nystagmus\u2013Test of Skew exam was indicative of a central neurologic process. Computed tomography angiogram of the head and neck revealed near-total bilateral vertebral artery occlusions in the second and third segments. The patient was admitted for further evaluation; subsequent magnetic resonance imaging revealed multiple areas of infarction in the cerebellar hemispheres, medulla, and occipital lobes.\n\nDiscussion: This case describes a unique presentation of a posterior stroke. Common symptoms include vertigo, loss of balance, and vomiting. However, bilateral hearing loss as a prominent symptom is uncommon. Imaging revealed a rare finding of bilateral vertebral artery occlusion.<\/jats:p>","DOI":"10.5811\/cpcem.2020.9.48949","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T01:12:25Z","timestamp":1605575545000},"page":"626-627","source":"Crossref","is-referenced-by-count":1,"title":["A Case of Bilateral Hearing Loss"],"prefix":"10.5811","volume":"4","author":[{"given":"Boris","family":"Ryabtsev","sequence":"first","affiliation":[{"name":"Kendall Regional Medical Center, Department of Emergency Medicine, Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Slane","sequence":"additional","affiliation":[{"name":"Kendall Regional Medical Center, Department of Emergency Medicine, Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,10,20]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Savitz SI and Caplan LR. Vertebrobasilar disease.\u00a0N Engl J Med. 2005;352(25):2618-26.","DOI":"10.1056\/NEJMra041544"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Huang MH, Huang CC, Ryu SJ, et al. Sudden bilateral hearing impairment in vertebrobasilar occlusive disease.\u00a0Stroke.\u00a01993;24(1):132\u20137.","DOI":"10.1161\/01.str.24.1.132"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Sauvaget E, Kici S, Petelle B, et al. Vertebrobasilar occlusive disorders presenting as sudden sensorineural hearing loss. Laryngoscope. 2004;114(2):327-32.","DOI":"10.1097\/00005537-200402000-00028"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Lee H and Baloh RW. Sudden deafness in vertebrobasilar ischemia: clinical features, vascular topographical patterns and long-term outcome.\u00a0J Neurol Sci. 2005;228(1):99-104.","DOI":"10.1016\/j.jns.2004.10.016"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Kattah JC, Talkad AV, Wang DZ, et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging.\u00a0Stroke. 2009;40(11):3504-10.","DOI":"10.1161\/strokeaha.109.551234"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T15:22:00Z","timestamp":1605799320000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/55p0t22d"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,20]]},"references-count":5,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,11,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.9.48949","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,20]]}}}