Vertigo as the First Sign of Chronic Myeloid Leukemia: A Case Report and Literature Review

Acute vestibular deficit as the first sign of leukemia is extremely rare. The literature shows some cases of sudden hearing loss accompanied by instability and associated with hyperviscosity syndrome. We present the case of a patient who presents a harmonic vestibular deficit of the right ear. The c...

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Main Authors: Rubén Martín-Hernández, Diego Hernando Macías-Rodríguez, Víctor Martín-Sánchez, Cristina Cordero-Civantos, Santiago Santa Cruz-Ruiz, Ángel Batuecas-Caletrio
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2013/505636
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author Rubén Martín-Hernández
Diego Hernando Macías-Rodríguez
Víctor Martín-Sánchez
Cristina Cordero-Civantos
Santiago Santa Cruz-Ruiz
Ángel Batuecas-Caletrio
author_facet Rubén Martín-Hernández
Diego Hernando Macías-Rodríguez
Víctor Martín-Sánchez
Cristina Cordero-Civantos
Santiago Santa Cruz-Ruiz
Ángel Batuecas-Caletrio
author_sort Rubén Martín-Hernández
collection DOAJ
description Acute vestibular deficit as the first sign of leukemia is extremely rare. The literature shows some cases of sudden hearing loss accompanied by instability and associated with hyperviscosity syndrome. We present the case of a patient who presents a harmonic vestibular deficit of the right ear. The complementary studies revealed an abnormally high level of leukocytes. A peripheral blood cytogenetic analysis is performed due to a high suspicion of leukemia, and the results show BCR/ABL fusion gene with a cut point in the M-BCR region, which confirms the diagnosis of chronic myeloid leukemia. In this case we detail the importance of taking hematological disorders into consideration in the differential diagnosis of patients with otoneurological symptoms, and we also review the etiopathogenic mechanisms, symptoms, diagnosis, and therapeutic options for chronic myeloid leukemia with sudden hearing loss and vertigo.
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publishDate 2013-01-01
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series Case Reports in Otolaryngology
spelling doaj-art-94d1268c9ba2480e9effcf6a76509a2d2025-02-03T06:01:42ZengWileyCase Reports in Otolaryngology2090-67652090-67732013-01-01201310.1155/2013/505636505636Vertigo as the First Sign of Chronic Myeloid Leukemia: A Case Report and Literature ReviewRubén Martín-Hernández0Diego Hernando Macías-Rodríguez1Víctor Martín-Sánchez2Cristina Cordero-Civantos3Santiago Santa Cruz-Ruiz4Ángel Batuecas-Caletrio5Otoneurology Unit, Department of Otorhinolaryngology and Head and Neck Pathology, University Hospital of Salamanca, Paseo San Vicente 58-182, 37007 Salamanca, SpainOtoneurology Unit, Department of Otorhinolaryngology and Head and Neck Pathology, University Hospital of Salamanca, Paseo San Vicente 58-182, 37007 Salamanca, SpainOtoneurology Unit, Department of Otorhinolaryngology and Head and Neck Pathology, University Hospital of Salamanca, Paseo San Vicente 58-182, 37007 Salamanca, SpainOtoneurology Unit, Department of Otorhinolaryngology and Head and Neck Pathology, University Hospital of Salamanca, Paseo San Vicente 58-182, 37007 Salamanca, SpainOtoneurology Unit, Department of Otorhinolaryngology and Head and Neck Pathology, University Hospital of Salamanca, Paseo San Vicente 58-182, 37007 Salamanca, SpainOtoneurology Unit, Department of Otorhinolaryngology and Head and Neck Pathology, University Hospital of Salamanca, Paseo San Vicente 58-182, 37007 Salamanca, SpainAcute vestibular deficit as the first sign of leukemia is extremely rare. The literature shows some cases of sudden hearing loss accompanied by instability and associated with hyperviscosity syndrome. We present the case of a patient who presents a harmonic vestibular deficit of the right ear. The complementary studies revealed an abnormally high level of leukocytes. A peripheral blood cytogenetic analysis is performed due to a high suspicion of leukemia, and the results show BCR/ABL fusion gene with a cut point in the M-BCR region, which confirms the diagnosis of chronic myeloid leukemia. In this case we detail the importance of taking hematological disorders into consideration in the differential diagnosis of patients with otoneurological symptoms, and we also review the etiopathogenic mechanisms, symptoms, diagnosis, and therapeutic options for chronic myeloid leukemia with sudden hearing loss and vertigo.http://dx.doi.org/10.1155/2013/505636
spellingShingle Rubén Martín-Hernández
Diego Hernando Macías-Rodríguez
Víctor Martín-Sánchez
Cristina Cordero-Civantos
Santiago Santa Cruz-Ruiz
Ángel Batuecas-Caletrio
Vertigo as the First Sign of Chronic Myeloid Leukemia: A Case Report and Literature Review
Case Reports in Otolaryngology
title Vertigo as the First Sign of Chronic Myeloid Leukemia: A Case Report and Literature Review
title_full Vertigo as the First Sign of Chronic Myeloid Leukemia: A Case Report and Literature Review
title_fullStr Vertigo as the First Sign of Chronic Myeloid Leukemia: A Case Report and Literature Review
title_full_unstemmed Vertigo as the First Sign of Chronic Myeloid Leukemia: A Case Report and Literature Review
title_short Vertigo as the First Sign of Chronic Myeloid Leukemia: A Case Report and Literature Review
title_sort vertigo as the first sign of chronic myeloid leukemia a case report and literature review
url http://dx.doi.org/10.1155/2013/505636
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