• Ying Zhang, Xin Zhao, Ming Zhou, Pengfei Chang, Tao Liu, and Yang Li.
• Department of Encephalopathy, Traditional Chinese Medicine Hospital of Weifang, Weifang, China.
• Medicine (Baltimore). 2023 Dec 22; 102 (51): e36691e36691.

RationaleSudden bilateral deafness is often associated with serious systematic conditions such as neoplasms, vascular events, autoimmune diseases, infections, and iatrogenic injury, but very rarely to cerebrovascular disease. This is a rare case of sudden bilateral deafness in a patient with the vertebrobasilar artery occlusion.Patient ConcernsA 46-year-old man was admitted to a local hospital for sudden bilateral deafness, the patient suffered inarticulate speech and walking unsteadily 6 days later.DiagnosesDifusion-weighted magnetic resonance imagin demonstrated acute cerebral infarction in the pons and bilateral cerebellum; Magnetic resonance angiography showed vertebrobasilar artery occlusion.InterventionsAspirin and clopidogrel were given for antiplatelet therapy, revascularization was obtained by endovascular treatment.OutcomesThe symptoms of dysarthria, ataxia and weakness gradually improved and were discharged 14 days after admission revascularization. After 3 months telephone followed-up the patient was self-cared.LessonsDeafness sometimes can be an early warning sign of impending vertebrobasilar ischemic stroke. Early recognition of deafness with acute ischemic stroke should allow special management, and misdiagnosis may result in significant morbidity, or even mortality.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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