ISSN 1308-7649 | E-ISSN 2148-3817
Case Report
Cochleovestibular Transient Ischemic Attack as a Manifestation of Patent Foramen Ovale
1 Department of Surgery and Biomedical Sciences, Section of Otorhinolaryngology, University of Perugia, Perugia, Italy  
J Int Adv Otol 2017; 13: 422-425
DOI: 10.5152/iao.2017.4519
Key Words: Patent foramen ovale, vertigo, sensorineural hearing loss, internal auditory artery, transient ischemic attack

Paradoxical embolization is the most commonly proposed mechanism for ischemia in patients with patent foramen ovale (PFO). We hypothesize that these patients can experience a microembolic genesis of cochleovestibular dysfunction, with a peripheral vestibular syndrome and simultaneous cochlear signs. Hence, we report the first case in literature associating PFO and acute transitory audiovestibular loss, which occurred in a male who had had an ischemic mesencephalic stroke several months ago. The patient’s history and duration of the current event of less than 24 hours following complete functional recovery without any damage highlight the vascular cause in cochleovestibular dysfunction and support the existence of a clinical entity that could be named “cochleovestibular transient ischemic attack”.



Cite this article as: Ori M, Faralli M, Ricci G. Cochleovestibular TIA as a Manifestation of Patent Foramen Ovale. J Int Adv Otol 2017; 13: 422-5.

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