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  Vol. 124 No. 7, July 1998 TABLE OF CONTENTS
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  Resident's Page: Imaging
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Imaging Quiz Case 1

Arch Otolaryngol Head Neck Surg. 1998;124:814-818.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 44-YEAR-OLD man presented with a 1-year history of progressive right-sided hearing loss that developed after a syncopal episode during which he suffered blunt trauma to his occiput. He was unconscious briefly and was taken to the emergency department for evaluation. On arrival, he noted complete deafness in the left ear and marked hearing loss in the right ear, with tinnitus bilaterally. At that time, he denied vertigo. The physical examination was significant for hemotympanum in the left ear, with scant blood in the external auditory canal, no cerebrospinal fluid leak, normal facial strength, and a wide-based gait. A computed tomographic (CT) scan showed intraparenchymal hemorrhages in the frontal and temporal lobes bilaterally with associated edema and a right temporal subdural hematoma. Audiologic testing demonstrated profound hearing loss in the left ear and moderately severe sensorineural hearing loss (SNHL) in the right ear, with a speech discrimination score of 96% . . . [Full Text of this Article]



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