Radiology Forum
June 2001

Quiz Case 2

Author Affiliations



Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Otolaryngol Head Neck Surg. 2001;127(6):715. doi:

A 43-YEAR-OLD woman presented with a 2-week history of left-sided retro-orbital headache, diplopia, and hearing loss in her left ear after an upper respiratory tract infection. On examination, she was found to have purulent debris filling the left external auditory canal. Also, paralysis of the left abducens nerve, with diplopia on left lateral gaze, was noted. Audiometric study revealed a 40-dB conductive hearing loss in the left ear. Laboratory analysis revealed no evidence of leukocytosis, and the results of analysis of a cerebrospinal fluid specimen were normal.

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