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Clinical Problem Solving: Radiology
April 2002

Radiology Quiz Case 2

Arch Otolaryngol Head Neck Surg. 2002;128(4):457. doi:10-1001/pubs.Arch Otolaryngol. Head Neck Surg.-ISSN-0886-4470-128-4-orf10506

A 46-YEAR-OLD WOMAN with a history of hypertension, hypercalcemia, and end-stage renal disease requiring hemodialysis presented with bilateral ear pressure and dizziness. Her medical and surgical histories were also significant for 3 neck explorations with parathyroidectomy for multigland hyperplasia. On initial examination, she was diagnosed as having classic right posterior semicircular canal benign paroxysmal positional vertigo. The Epley canalith repositioning maneuver was initially performed with her right ear down, and immediate resolution of her vertigo and nystagmus was observed. Audiometric testing performed at her initial visit revealed moderate conductive hearing loss in both ears.