Description

A 70-year-old woman with nephrotic syndrome (NS) secondary to membranous glomerulonephritis on immunosuppressive therapy, diabetic nephropathy and hypertension presented with sudden hearing impairment.

She had lost the ability to understand speech and transiently expressed some meaningless words. Reading and writing skills were preserved, and she was able to understand written commands.

Audiometry revealed mild bilateral sensorineural hearing loss.

Brain MRI showed a recent left temporal ischaemic lesion (figure 1; white arrow) and right temporal, left occipital and …