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Arch Otolaryngol Head Neck Surg. 1999;125:229-231.

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

A 77-YEAR-OLD white woman who presented with persistent hoarseness and dysphagia was found to have a left vocal fold paralysis. Evaluation, including an unenhanced computed tomographic (CT) scan of the brain and a magnetic resonance imaging (MRI) scan, revealed a left cerebellopontine angle mass involving the jugular foramen. The patient declined surgical intervention at that time. Over the next 30 months, dysphagia and recurrent aspiration necessitated placement of a percutaneous gastrostomy feeding tube. The patient developed headaches, visual blurring, paresis of left cranial nerve XII, and left-sided sensorineural hearing loss. She also became wheelchair bound owing to progressive vertigo and ataxia. She then sought treatment for relief of her symptoms. The CT scan revealed a left-sided erosive mass with widening of the jugular foramen and involvement of the lateral clivus and medial petrous bones. There was inhomogeneous enhancement and scattered foci of calcification. The MRI scan exhibited a lobulated mass . . . [Full Text of this Article]