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Query: UMLS:C0038454 (stroke)
 147,016 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Cortical deafness is a rare condition and is usually caused by bilateral cerebral lesions. Several cases of sudden cortical deafness caused by ischemic stroke or hypertensive intracerebral hematoma have been reported, however, no cases of traumatic cortical deafness were identified in our literature search. We experienced a case of delayed traumatic intracerebral hematoma (DTICH) presenting as cortical deafness. In our patient, warfarin intake seemed to be a risk factor for DTICH. Head injury may adversely affect the coagulability and thrombolysis. A high risk of DTICH after traumatic head injury should be kept in mind when encountering patients taking anticoagulants.
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PMID:Delayed traumatic intracerebral hematoma presenting as cortical deafness: case report. 3212 66

Cortical deafness is an extremely rare clinical manifestation that originates mainly from bilateral cortical lesions in the primary auditory cortex. Its main clinical manifestation is the bilateral sudden loss of hearing. Diagnosis is difficulty due to its rarity and similarity with other language and communication disorders, such as Wernicke's aphasia, auditory agnosia or verbal deafness. Herein, we present a case report of a young woman with a sudden bilateral loss of auditory comprehension. Initially, a psychiatric nature of the disorder was considered, but the persistence of the symptoms, lead to the diagnosis of cortical deafness secondary to bilateral ischemic lesions in both temporal lobes. Progressive improvement occurred and three months after the initial manifestations she manifested pure verbal deafness. Cortical deafness usually has a poor functional prognosis, with limited therapeutic options. Rehabilitation and speech therapy is recommended to improve the chance of patients achieving communication skills.
J Stroke Cerebrovasc Dis 2020 Jul
PMID:Cortical deafness of following bilateral temporal lobe stroke. 3238 50