This Article  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

C. PHILLIP DASPIT, MD
Phoenix, Ariz

Arch Otolaryngol. 1980;106(10):655.

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

To the Editor.—In a recent issue of the ARCHIVES, an article was presented on the effect of degree of hearing loss on diagnostic test strategy, by Hayes and Jerger (106:266-268, 1980). The neuro-otologic examination of a patient with a suspected retrocochlear lesion involves a battery of tests including audiometric evaluation, electronystagmography, and radiologic procedures, usually computerized axial tomography using either air contrast or intravenous agents. The definitive diagnosis on occasion is made with posterior fossa myelography. Nowhere in this article does it mention the results of the other testing. The authors leave one with the impression that the diagnosis was made primarily and solely on audiometric findings.

The point is that the diagnosis of such lesions can be done only by physicians with a high index of suspicion using all of the diagnostic facilities at hand. I would hate to see a cerebellar pontine angle lesion missed because the . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?