Brainstem is commonly involved in spontaneous intracerebral hemorrhage (sICH). We report a 54-year-old man with accelerated hypertension presenting with ventral pontine hemorrhage. He had right sixth- and seventh-nerve palsy with left-sided hemiparesis. During the hospital stay, he developed disabling tinnitus in the right ear. Tinnitus is associated with the disruption of the central auditory pathway. He was given pregabalin for tinnitus and reported a significant improvement.
HuangYS, KooM, ChenJC, HwangJH.The association between tinnitus and the risk of ischemic cerebrovascular disease in young and middle-aged patients: A secondary case-control analysis of a nationwide, population-based health claims database. PLoS One. 2017;12:e0187474.
5.
WangK, TangD, MaJ, SunS.Auditory neural plasticity in tinnitus mechanisms and management. Neural Plast. 2020;2020:e7438461.
6.
HaiderHF, BojićT, RibeiroSF, PaçoJ, HallDA, SzczepekAJ.Pathophysiology of subjective tinnitus: Triggers and maintenance. Front Neurosci [Internet]. 2018;12:866.
7.
SugiuraS, UchidaY, NakashimaT, YoshiokaM, AndoF, ShimokataH.Tinnitus and brain MRI findings in Japanese elderly. Acta Otolaryngol (Stockh). 2008;128:525–529.
8.
Krishnan MuthaiahVP, CornejoIN, HariharanS, ThyagarajanM, GunasekaranK.Disabling tinnitus and third nerve palsy following pontine hemorrhage: Application of ICF framework. Clin Case Rep. 2024;12:e8405.
9.
BauerCA, BrozoskiTJ.Effect of gabapentin on the sensation and impact of tinnitus. Laryngoscope. 2006;116:675–681.
10.
ZappJJ.Gabapentin for the treatment of tinnitus: A case report. Ear Nose Throat J. 2001;80:114–116.
11.
WitsellDL, HannleyMT, StinnetS, TucciDL.Treatment of tinnitus with gabapentin: A pilot study. Otol Neurotol. 2007;28:11–15.
12.
ChenWH, YinHL.Successful amelioration of tinnitus in a stroke patient by low-dose gabapentin. J Stroke Cerebrovasc Dis. 2012;21(8):907. e1–907.e4.
