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{
    "pk": 943,
    "title": "A Case of Bilateral Hearing Loss",
    "subtitle": null,
    "abstract": "Case Presentation:\n A 53-year-old male presented to the emergency department with acute onset of bilateral hearing loss as well as vertigo and severe vomiting. The Head Impulse– Nystagmus–Test of Skew exam was indicative of a central neurologic process. Computed tomography angiogram of the head and neck revealed near-total bilateral vertebral artery occlusions in the second and third segments. The patient was admitted for further evaluation; subsequent magnetic resonance imaging revealed multiple areas of infarction in the cerebellar hemispheres, medulla, and occipital lobes.\nDiscussion:\n This case describes a unique presentation of a posterior stroke. Common symptoms include vertigo, loss of balance, and vomiting. However, bilateral hearing loss as a prominent symptom is uncommon. Imaging revealed a rare finding of bilateral vertebral artery occlusion.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Bilateral hearing loss"
        },
        {
            "word": "posterior stroke"
        },
        {
            "word": "vertebral artery occlusion"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/55p0t22d",
    "frozenauthors": [
        {
            "first_name": "Boris",
            "middle_name": "",
            "last_name": "Ryabtsev",
            "name_suffix": "",
            "institution": "Kendall Regional Medical Center, Department of Emergency Medicine, Miami, Florida",
            "department": "None"
        },
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Slane",
            "name_suffix": "",
            "institution": "Kendall Regional Medical Center, Department of Emergency Medicine, Miami, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-21T06:21:25+08:00",
    "date_accepted": "2020-10-21T06:21:25+08:00",
    "date_published": "2020-10-21T06:22:09+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/943/galley/691/download/"
        }
    ]
}