A 59-year-old woman with a history of gastroesophageal reflux and hypercholesterolemia presented with a sudden hearing loss in her left ear. Her primary care physician had started her on an oral steroid regimen, but she reported no improvement in her hearing. After an audiogram revealed a high-frequency hearing loss 5 months earlier, she began using a hearing aid in her left ear. She also had an approximately 6-year history of profound hearing loss in her right ear, the cause of which was unknown. She denied having tinnitus or vertigo. She also denied a history of otologic disease, autoimmune disease, bleeding disorders, or otologic or neurologic surgery. She had no family history of bleeding disorders, autoimmune disorders, or diabetes.
Sabatini PR, Kutz JW. Radiology Case Quiz 1. Arch Otolaryngol Head Neck Surg. 2009;135(6):612. doi:10.1001/archoto.2009.39-a