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Clinical Problem Solving: Radiology
October 2005

Radiology Quiz Case 2

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2005;131(10):922. doi:10.1001/archotol.131.10.922

A 55-year-old woman presented with left-sided acute, painless facial paralysis. The findings of her physical examination were unremarkable. An otoscopic examination was not performed. Because facial nerve edema is one of the most common causes of facial paralysis, medical therapy was prescribed accordingly. The patient had no response to the therapy, so she was readmitted for the second time 2 months later, at which time otoscopy revealed a skin-covered mass obliterating the left external auditory canal.