R. NICKBRYANMDS. JAMESZINREICHMD
A 53-YEAR-OLD man presented for evaluation of hearing loss, worsening balance, and decreased sense of smell. He complained of a progressive hearing loss over several years, with significantly more deterioration on the left side over the past several months. He noted that over the past 2 years, he had become more clumsy and had been unable to walk long distances without veering off to one side. He also noted that his sense of smell had decreased so much over the past 3 years that he had become unable to smell anything.
Aferzon M, Greene JS. Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2001;127(6):714. doi:10.1001/archotol.127.6.714