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Doctors Lounge - Neurology Answers
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| Maryam
- Mon Dec 24, 2007 2:12 am |
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Dear Sir,
I am a 33 year old female working as a Computer Trainer and I am seeking your help and advice. I have done MRI and MRA because I lost the hearing in my left ear suddenly and without any pain while I was training (15 March 06). I did not know that I lost the hearing till my sister called me on my mobile, so I went to 3 E.N.T specialist who did a lot of tests and they found that there is nothing wrong. After one week I gradually regained the hearing in my left ear. 5 month later I started having strange feeling while eating where I feel that I am fainting or may be it is better to describe it as coma (I don't fall down I will still be sitting on my chair) that remains for few seconds in which I don't feel of anything around me. I also have numbness feelings in the bottom right side of my head from back, some other times I feel as if there is some lump or something hard in that same area bottom right side of my head from back.
On the left side of my head I have a severe burning feeling and some times I feel as if someone is putting pressure on my head and I do suffer from headache not the normal headache that I used to have before. Now I am suffering from some weakness in my left hand fingers, even if I am not holding anything still I feel that my fingers are tired. I also find small amount of blood in my nose-left side- the blood color is mostly dark, I never had blood in my nose before. Sometimes I suffer from short breath and those who are sitting beside me will clearly hear me breathing deeply.
As a result of all the above I went to see a neurologist who recommended MRI in which he found a small lesion in the basal ganglion (5 mm), the test conclusion was: MR findings are in favor of vascular malformation (?cavernoma,? angioma). I discussed my MRI result with an online neurologist and this was his reply to me:
“Sudden Hearing Loss and Dizziness may indicate a process affecting the vestiboulocochlear or 8th cranial nerve system which is responsible for balance and hearing. I can tell you with certainty that a cavernous angioma (cavernoma) located in the basal ganglia would NOT cause sudden hearing loss in one ear as the only location in the central nervous system that can cause this is a specific area of the brainstem (way below the basal ganglia) where the 8th cranial nerve enters in the region of the upper medulla / lower pons. Any areas "above" this place cannot cause hearing loss in one ear as the information regarding hearing crosses from side to side and therefore any problem would affect the hearing in both ears”
After one month I did MRA. But after that the neurologist did not tell me what the next step is if there is any, and if there is any relation between all the above symptoms that I have and the lesion that was found in the left side. And what is the difference between the cavernoma and the angioma if there is any difference. I don’t know what I should do, what is my next step. I stopped giving classes as the headache and the burning feeling increases once I finish the 2 hours class- I take 2 and sometimes 3 classes a day.
Please advise me what should I do and if you recommend any farther test to be done.
Thank you very much for your time.
Maryam
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| Dr. Chan Lowe
- Fri Feb 01, 2008 7:37 pm |
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 Hi Maryam,
I agree with the neurologist that one sided hearing loss is not likely to be from a basal ganglia cavernoma. A Cavernoma is another name for a cavernous angioma or cavernous hemangioma (all the same). These are collections of blood vessels that form a ball. In many people they are asymptomatic although they can bleed or cause pressure on surrounding structures in some cases.
I would recommend that you continue to follow up with your neurologist for further evaluation of these symptoms. Unfortunately, I can't really suggest anything that would be causing this. Follow up with the ENT doctor may also be helpful.
Best wishes.
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