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Case Report
Single-sided deafness related to neural vascular conflict: A case report from Saudi Arabia
1 Consultant, Head of Audio Vestibular Medicine Division, Department of ORL H & N Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
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Mona S Al Rakaf
MD, MSc, AuD, Consultant, Head of Audio Vestibular Medicine Division, Department of ORL H & N Surgery, Prince Sultan Military Medical City, P.O. Box 7897, Riyadh 11159,
Saudi Arabia
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Article ID: 101150Z01MR2020
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Al Rakaf MS. Single-sided deafness related to neural vascular conflict: A case report from Saudi Arabia. Int J Case Rep Images 2020;11:101150Z01MR2020.ABSTRACT
The impact of single-sided deafness (SSD) is well known, particularly on children. These include difficulties in speech comprehension with background noise, localization, and spatial appreciation. The social and emotional status of the child may be compromised. In addition, parents are keen to understand the etiology and consequences of SSD. Different etiologies are correlated with SSD, and etiology identification is a crucial step toward better management and parent counseling. SSD related to neural vascular conflict (NVC) of the cerebellopontine angle is uncommon. This is the first case, up to my knowledge so far, to be reported in Saudi Arabia. A 13-year-old Saudi girl presented with a history of difficulty in hearing in the left ear, and audiological evaluation demonstrated left-sided profound sensorineural hearing loss. Upon further investigation, magnetic resonance imaging (MRI) showed a left-sided neural vascular conflict of the anterior inferior cerebellar artery (AICA) loop and the left cochlear nerve. In this case, SSD was related to NVC since clinical history, and other investigations did not justify another cause. This report will embrace the role of audiological and radiological investigation, which in turn will help with management recommendations, and help clinicians in dealing with similar challenges.
Keywords: Bone conduction hearing devices, Cochlear implantation, Neural vascular conflict, Single-sided deafness
SUPPORTING INFORMATION
Author Contributions
Mona S Al Rakaf - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthor declares no conflict of interest.
Copyright© 2020 Mona S Al Rakaf. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
