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

Published online by Cambridge University Press:  02 April 2007

S Brewis  and
D M Baguley
S Brewis
Affiliation:
Department of Audiology, Addenbrooke's Hospital, Cambridge, UK
D M Baguley
Affiliation:
Department of Audiology, Addenbrooke's Hospital, Cambridge, UK
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Abstract

Following 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.

Keywords

TinnitusHearing AidInfarctionBrainstem
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 4 , April 2007 , pp. 393 - 394
Copyright
2007 JLO (1984) Limited

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