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  Vol. 129 No. 1, January 2003 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 1

Elizabeth A. Shaw, MD; Patrick J. Antonelli, MD
University of Florida College of Medicine, Gainesville

Arch Otolaryngol Head Neck Surg. 2003;129:129.

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

A 48-YEAR-OLD WHITE WOMAN presented with intermittent, brief vertiginous episodes that had been progressively increasing in frequency over 2 to 3 years. Bilateral aural fullness was noted, more in the right ear than the left. The patient had been treated for recurrent bilateral acute otitis externa 4 times during the previous year. She denied complaints of hearing loss, tinnitus, otalgia, or otorrhea. She had no history of trauma, otitis media, meningitis, or exposure to ototoxins, and her medical history and family history were noncontributory. She underwent a complete head and neck examination, neurologic examination, and electronystagmography. Right caloric weakness of 36% and spontaneous lateral gaze nystagmus were noted. The findings of tympanometry and audiometry were normal, and her speech discrimination was excellent bilaterally. The results of laboratory investigations, including antinuclear antibody titers, erythrocyte sedimentation rate, rheumatoid factor, serologic tests for syphilis, complete . . . [Full Text of this Article]



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