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  Vol. 131 No. 9, September 2005 TABLE OF CONTENTS
  Archives
  •  Online Features
  Clinical Problem Solving: Radiology
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Radiology Quiz Case 1

Nicholas Calder, MRCS; Ian Ganly, FRCS; D. M Hadley, FRCR, PhD; Brian F. O’Reilly, FRCS
Southern General Hospital, Glasgow, Scotland

Arch Otolaryngol Head Neck Surg. 2005;131:821.

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

A 73-year-old woman presented with a 6-month history of a sudden onset of vertigo, hearing loss in her right ear, and decreased visual acuity in her right eye, which was followed 3 days later by right-sided facial weakness. Four days before presentation, she had developed a sudden onset of hearing loss in her left ear and progressive left-sided facial weakness. Her medical history was remarkable for asthma, angina, primary hypothyroidism, and tuberculosis when she was a child. Her medications included aspirin, omeprazole, thyroxine, atorvastatin, isosorbide mononitrate, glyceryl trinitrate spray, dexamethasone, and {beta}2-agonist inhalers. There was no notable family history.

Physical examination showed bilateral lower motor neuron weakness of the facial nerve. The tympanic membranes were normal. There were no other apparent abnormalities. A pure-tone audiogram confirmed total sensorineural hearing loss in both ears. Magnetic resonance . . . [Full Text of this Article]


RELATED ARTICLE

Radiology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2005;131(9):825.
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