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.
Chen H, Chang Y, Liang C. Radiology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2008;134(3):329. doi: