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  Vol. 129 No. 4, April 2003 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Radiology
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Radiology Quiz Case 2

Mark Aferzon, MD; Carl L. Reams, MD
Geisinger Medical Center, Danville, Pa

Arch Otolaryngol Head Neck Surg. 2003;129:491.

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

A PREVIOUSLY healthy 33-year-old man presented with a 6-year history of gradually progressive left-sided hearing loss that was associated with constant high-pitched left-sided tinnitus. The hearing loss had been especially bothersome over the previous 2 years. The patient, who was right-handed, had a history of noise exposure as a result of target shooting and woodworking. He denied having had meningitis, ear infections, ear surgery, otalgia, otorrhea, aural pressure, head trauma, or vertigo.

The findings of the patient's medical history and physical examination were unremarkable (vision and extraocular movements intact, normal ear examination results, and facial sensation and facial movements intact and symmetrical). An audiogram revealed a mild middle- and high-frequency sensorineural hearing loss in the left ear, with good discrimination, and normal hearing in the right ear. The results of auditory brainstem response testing were normal. At a follow-up visit, because the patient . . . [Full Text of this Article]


RELATED ARTICLE

Radiology Quiz Case 2—Diagnosis
Arch Otolaryngol Head Neck Surg. 2003;129(4):493.
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