Presbycusis
Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is perforated Sudden awareness of hearing problem directly after blow to head/ear
Otoscopy Dried blood in right ear canal, taken out, both TM’s visualized and normal
Conclusion Bilateral sensorineural loss can either be from noise exposure, age or a combination of the two
Acoustic Neuroma
Case 1 History 58 year old female Diagnosed with enhancing internal auditory canal lesion 2 years prior MRI shows no growth of lesion since previous MRI
Case 2 History 46 y/o female One evening while running errands she heard a pop and then loud tinnitus began Both ABR and ENG results were within normal limits A CT scan showed a 4 mm acoustic neuroma in the right internal auditory canal
Case 3 History 52 year old female History of right acoustic schwannoma Multiple surgical resections between 1972 and 1977 Reports headache and ear pain
Case 4 History 49 year old woman Underwent resection of a cerebellopontine angle meningioma 7 months prior
Case 5 History 67 year old female Sudden hearing loss on right side Accompanied by violent vertigo two years ago History of CVA one year ago on left side