December 31, 2012
A 58-year-old woman with rapidly progressive bilateral sensorineural hearing loss (80 dB). Otoscopy demonstrated the Schwartze sign: redness in the posterosuperior mesotympanum and no other abnormalities.
Case of the Week Archive
Section Editors: Sapna Rawal,1 Juan Pablo Cruz2
1University of Toronto, Toronto, Ontario, Canada
2Pontificia Universidad Catolica de Chile, Santiago, Chile
December 24, 2012
A 22-month-old boy with 2-day history of fever, upper respiratory tract infection, and a decreased level of consciousness.
December 10, 2012
A 34-year-old man with acute onset of aphasia and left hemiparesis. History of CNS B-cell acute lymphocytic leukemia. One day after intrathecal methotrexate injection. Prior injection was 8 days earlier. No history of radiation therapy.
December 3, 2012
A 60-year-old man with uncontrolled diabetes presented with left-sided earache and ear discharge, headache, facial deviation, and hearing loss since nine months. Progressively he developed dysphagia, hoarseness of voice and drooping of left shoulder, and upon examination he had bilateral VI, IX, X, and left facial and XI cranial nerve palsy with bilateral conductive hearing loss.
November 26, 2012
A 55-year-old woman with chronic ear discharge and history of prior surgery for cholesteatoma.
November 19, 2012
A 5-year-old boy with frequent falls and speech abnormalities. Significant past history of low birth weight and neonatal distress. On examination, the boy had ataxic gait, slurred speech, and plantar extensor reflex with exaggerated deep tendon reflexes on left side.
November 12, 2012
A 55-year-old man with right sub-occipital scalp mass, chronic headache, right-sided facial weakness, right-sided hearing loss, dysphagia, change in voice, and imbalance for one year.
November 5, 2012
A 14-year-old boy reported with a 2-year history of intermittent headache and 1-month history of vomiting. Visual acuity was diminished, and funduscopy demonstrated papilledema.
October 29, 2012
A 3 1/2-year-old patient with rapidly progressive flaccid weakness in upper extremities, along with intense pain in the upper girdles at onset.
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