Наблюдение острой кохлеовестибулопатии вертебро-базилярного генеза на фоне гипертонического криза

Abstract

Cochleovestibular disorders are one of the urgent problems in otorhinolaryngology, due to the high incidence and insufficient efficacy of treatment. According to some researchers, cochleovestibular disorders in most cases are of vascular nature (73.0%), which is one of the reasons of the increase in the number of patients. We present a clinical case of acute cochleovestibulopathy of vertebro-basilar genesis, in the form of a momentary acute circulatory disorder in the inner ear and cervical positional vertigo associated with the hypertensive crisis. A female patient B., 61 years old,, visited the ENT Department of Karachay-Cherkess Republican Clinical Hospital with the complaints of acute hearing impairment in the left ear, noise in the ear, pain in the neck and short-term attacks of systemic rotational vertigo, accompanied by nausea when turning the head to the left and throwing it back. The otoneurological examination revealed the symptoms of left-side peripheral cochleovestibular syndrome: profound deafness, reduction of vestibular excitability on the left. De Klein test revealed right fine, binocular, associated, fast, horizontal-rotary degree 2 nystagmus. This clinical case is unusual because atherosclerotic lesion of the right vertebral artery and hypoplasia of the left vertebral artery in combination with arterial hypertension initiated a momentary occurrence of acute circulatory disorders in the inner ear and cervical positional vertigo.