66 yo healthy female with left hearing loss. No other sympto | Figure 1

Deleted account

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

66 yo healthy female with left hearing loss. No other symptoms. What is the name for the phenomenon observed on her speech testing? With what pathology is it associated?


More about this case

Resolved

Why you should join Figure 1

Similar cases

This is a large vestibular schwannoma. These tumors originate about the vestibular nerve (Vlll) affecting balance, hearing and if large Vll and V cranial nerve function. In the past treatment was via a suboccipital craniectomy or translab approach (with ENT). This is an example of a suboccipital. This is a long operation, the prep & positioning of the patient (>2 hours), the opening 2 hours, the surgery >4 hours, closing another 1-2 hours. Nowadays these tumors are picked up earlier therefore smaller, thus some are treatable with radiosurgery.

10-year-old male with bilateral hearing loss. You are shown one sagittal CT reconstruction. What is the diagnosis? What are some clinical tipoffs?

#Vestibulocochlear-nerve-(8th-cranial-nerve) #Schwannoma

1&2 are recent audiogram & MRI. 3 is MRI from 1 year earlier. Audio then had WRS 100%. Is pt still a candidate for hearing preservation surgery? If so, by what approach? What radiographic finding here is favorable for hearing preservation? What is the likelihood of hearing preservation?

Trending now

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?