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Radiology Quiz Case 1
Joseph L. Smith II, AB;
Stephen A. Goldstein, MD;
Thomas O. Willcox, Jr, MD
Jefferson Medical College, Philadelphia, Pa
Arch Otolaryngol Head Neck Surg. 2002;128:80-82.
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A 52-YEAR-OLD woman presented with vertigo, nausea, vomiting, and left-sided
hearing loss that had developed after a sinus infection. Her medical history
was significant for Samter triad, ulcerative colitis, arthritis, and osteoporosis.
Her medications at the time were albuterol, salmeterol xinafoate, fluticasone,
mesalamine, metronidazole, and levofloxacin.
An otologic examination showed intact and mobile tympanic membranes.
A tuning fork examination at 512 Hz revealed lateralizing to the right on
the Weber test and a positive Rinne test result in the right ear. There was
no response to the tuning fork tests in the left ear. An ocular examination
demonstrated no spontaneous or evoked nystagmus, and extraocular movements
were intact. The results of the rest of the head and neck examination were
normal. A neurologic examination was significant for a widened gait. On Romberg
and tandem Romberg testing, . . . [Full Text of this Article]
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