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Rick van de Langenberg, MD; Robert Stokroos, MD, PhD; Bert-Jan de Bondt, MD
Maastricht University Medical Center, Maastricht, the Netherlands

Arch Otolaryngol Head Neck Surg. 2009;135(7):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 44-year-old women presented with a 2-day history of a sudden onset of rotatory vertigo, left-sided hearing loss, nausea, and vomiting. Three months earlier, she had been diagnosed as having stage IV non–small cell lung carcinoma (NSCLC), for which she underwent chemotherapy. None of the medications she used was registered as having otovestibular toxic effects. There was no other notable medical or family history. The findings of otoscopy and facial nerve function were normal. Further neuro-otologic examination revealed no abnormalities. Pure-tone audiometry showed bilateral sensorineurinal hearing loss with an extended Fletcher index (average hearing losses at 0.5, 1, 2, and 4 kHz) of 25 dB in the right ear and 30 dB in the left ear. Laboratory assessment for neurotropic viruses showed no signs of recent infection or viral reactivation.

Magnetic resonance imaging of the cerebellopontine angle . . . [Full Text of this Article]

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