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Edward J. Damrose, MD; Leonard V. Petrus, MD; Akira Ishiyama, MD
Los Angeles, Calif

Arch Otolaryngol Head Neck Surg. 2001;127:715-717.

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

A 43-YEAR-OLD woman presented with a 2-week history of left-sided retro-orbital headache, diplopia, and hearing loss in her left ear after an upper respiratory tract infection. On examination, she was found to have purulent debris filling the left external auditory canal. Also, paralysis of the left abducens nerve, with diplopia on left lateral gaze, was noted. Audiometric study revealed a 40-dB conductive hearing loss in the left ear. Laboratory analysis revealed no evidence of leukocytosis, and the results of analysis of a cerebrospinal fluid specimen were normal.

Computed tomographic (CT) scanning (Figure 1) demonstrated opacification of the left mastoid air cells and petrous apex, with coalescence of the apical air cells. Magnetic resonance imaging (MRI) scans demonstrated nonenhancing edema of the left petrous apex on T1-weighted images (Figure 2), enhancement of the left petrous apex . . . [Full Text of this Article]

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