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March 1996


Arch Otolaryngol Head Neck Surg. 1996;122(3):342-345. doi:10.1001/archotol.1996.01890150108019

Imaging Quiz Case 1  Basil Dubs, Zurich, Switzerland; John K. Niparko, MD, Baltimore, MdA 62-year-old woman presented with a 2-year history of a decline in facial tone on the left side, left-sided facial discomfort, and progressive disequilibrium. She noted a tendency to list to the left side with ambulation. Examination revealed a grade VI left-sided facial paralysis. Sensation of the central and lower divisions of the trigeminal distribution was mildly diminished on the left side. Further evaluation showed a vocal palsy with minimal motion of the left cord. Shoulder and tongue movement were normal.The patient's medical history revealed removal of an acoustic neuroma on the left side via suboccipital approach 15 years previously. Postoperatively, she had no hearing on the side that had been surgically treated, and her facial nerve was paralyzed. Subsequently, good tone developed in the left side of her face. Her medical history was also

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