R. NICKBRYANMDS. JAMESZINREICHMD
A 68-YEAR-OLD white woman presented with a 4-week history of a discharging, painful right ear and a 5-day history of right-sided facial weakness. The right ear had been syringed to remove some wax, after which otorrhea and otalgia developed. Five days before the patient came to our clinic, she had noticed some drooping of the right side of her face that had become progressively worse. There were no other otologic symptoms or neurologic deficits, and she denied any history of chronic ear disease or previous ear surgery. Her medical history included mild diabetes mellitus, for which she was taking glipizide, and polymyalgia rheumatica, for which she had been taking prednisolone.
Shaida A, Siddiqui N. Imaging Quiz Case 2. Arch Otolaryngol Head Neck Surg. 1998;124(3):341-343. doi:10.1001/archotol.124.3.340