ArticleCureus2025
Bilateral Hearing Loss and Tinnitus as Primary Manifestations of Pontine Hemorrhage in a Young Man With Refractory Hypertension.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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3 authors.
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Abstract
Pontine hemorrhages are typically associated with profound neurological deficits such as coma and quadriparesis, but selective involvement of the dorsal tegmentum can produce more subtle or atypical symptoms. We report the case of a 32-year-old man with longstanding, treatment-noncompliant hypertension who presented with acute-onset bilateral hearing loss and tinnitus. Head CT revealed an acute hemorrhage localized to the pontine tegmentum, yet the patient remained fully awake and alert. Renovascular causes of hypertension were excluded, but the workup revealed evidence of chronic hypertensive end-organ damage, including hypertensive retinopathy, renal parenchymal disease, and severe concentric left ventricular hypertrophy. This case underscores the importance of considering posterior circulation events in hypertensive patients, particularly young adults, presenting with new bilateral auditory symptoms, as early neuroimaging and recognition of atypical presentations are critical for accurate diagnosis and timely intervention.
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