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Clinical Problem Solving: Radiology
March 1, 2008

Radiology Quiz Case 2

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2008;134(3):329. doi:

A 56-year-old woman presented with a 4-month history of progressive left-sided hearing loss and aural fullness. Otoscopy revealed serous effusion in the left middle ear, and audiometry showed combined conductive and sensorineural hearing loss. A diagnosis of left-sided serous otitis media was made, and a tympanostomy tube was inserted. The patient's symptoms, however, progressed to vertigo and left temporal deep-seated headache. She also complained of numbness in the left side of her face and paresthesia over the V2 and V3 distributions.

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