Evidence map›Paper›PMID 29770122›Full record

ArticleFrontiers in neurology2018

Acute Unilateral Audiovestibulopathy due to Embolic Labyrinthine Infarction.

Zhong Liqun, Kee-Hong Park, Hyo-Jung Kim, Sun-Uk Lee, Jeong-Yoon Choi, Ji-Soo Kim

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Vascular mechanisms in acute unilateral peripheral vestibulopathy: a systematic review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2021
    Pooled it
  2. Review
  3. Article
  4. Lesion Location and Possible Etiology of Acute Unilateral Vestibulopathy.International journal of general medicine · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Vestibular mapping in Ramsay-Hunt syndrome and idiopathic sudden sensorineural hearing loss.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Article
  9. Article
  10. [A case of pontine infarction with sudden deafness and vertigo as the first symptom].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022
    Article
  11. Article
  12. Vascular vertigo and dizziness: Diagnostic criteria.Journal of vestibular research : equilibrium & orientation · 2022
    Article
  13. Review
  14. Article
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Zhong LiqunDepartment of Neurology, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China.
Kee-Hong ParkDepartment of Neurology, Gyeongsang National University Hospital, Jinju, South Korea.
Hyo-Jung KimResearch Administration Team, Seoul National University Bundang Hospital, Seongnam, South Korea.
Sun-Uk LeeDepartment of Neurology, Seoul National University College Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Jeong-Yoon ChoiDepartment of Neurology, Seoul National University College Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Ji-Soo KimDepartment of Neurology, Seoul National University College Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Seoul National University Bundang Hospital · KRDongzhimen Hospital Affiliated to Beijing University of Chinese Medicine · CNGyeongsang National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLabyrinthine infarction is a cause of acute audiovestibulopathy, but can be diagnosed only in association with other infarctions involving the brainstem or cerebellar areas supplied by the anterior inferior cerebellar artery (AICA) since current imaging techniques cannot visualize an infarction confined to the labyrinth. This case series aimed to establish embolic labyrinthine infarction as a mechanism of isolated acute audiovestibulopathy.

methodsWe analyzed clinical features, imaging findings, and mechanisms of embolism in 10 patients (8 men, age range: 38-76) who had developed acute audiovestibulopathy in association with an obvious source of embolism and concurrent acute embolic infarctions in the non-anterior inferior cerebellar artery territories. The presence of audiovestibulopathy was defined when bedside or laboratory evaluation documented unilateral vestibular (head-impulse tests or caloric tests) or auditory loss (audiometry).

resultsSix patients showed combined audiovestibulopathy while three had isolated vestibulopathy. One patient presented isolated hearing loss. Audiovestibular findings were the only abnormalities observed in nine patients. In all patients, MRIs documented single or multiple infarctions in the cerebellum (

conclusionSelective embolism to the labyrinth may be considered in patients with acute unilateral audiovestibulopathy and concurrent acute infarctions in the non-AICA territories.

Indexed as

embolismhearing lossinfarctioninner earvertigo

Identifiers

PMID29770122
PMCPMC5940739
OpenAlexW2801731722

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.