R. NICKBRYANMDS. JAMESZINREICHMD
A 55-YEAR-OLD WOMAN presented with a 3-month history of a sudden left-sided hearing loss, tinnitus, and a sense of being "off balance." Approximately 2 months earlier, she had noticed weakness of the left side of her face, with some diminished ability to close her left eye. This weakness resolved a few weeks later. She did not note any trouble with speech or swallowing but did think that the sensation of taste on the left side of her tongue was reduced. Her medical history was significant only for breast cancer, for which she had undergone a left modified radical mastectomy and axillary lymph node dissection with 1 positive lymph node 7 years before. Postoperatively, she had undergone a course of chemotherapy and had no evidence of recurrence since that time. Three years before she presented to our clinic, she had undergone magnetic resonance imaging (MRI) of the brain and cervical spine, the results of which were normal.
Janus SC, Djalilian HR, Levine SC, Keel S. Radiology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2002;128(10):1213-1217. doi:10.1001/archotol.128.10.1213