Abstract
A 63-year-old man presented with imbalance when coughing due to a respiratory tract infection. He had a history of multiple myeloma with a plasmacytoma of the left temporal bone. Examination revealed a positive leftward head impulse test, no spontaneous nystagmus, left-beating positional nystagmus, and left-beating Valsalva-induced nystagmus. Videonystagmography, audiology, and comprehensive vestibular function tests revealed a subtotal left peripheral audio-vestibular loss. Temporal bone computed tomography showed an unchanged bony erosion of the left labyrinth from 2 years prior. Vertigo subsided after treatment of the respiratory tract infection. Although no tumor progression was evident, coughing had triggered a preexisting third mobile window to declare itself.
Original language | English |
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Pages (from-to) | E966-E969 |
Number of pages | 4 |
Journal | Laryngoscope |
Volume | 131 |
Issue number | 3 |
Early online date | 4 Aug 2020 |
DOIs | |
Publication status | Published - Mar 2021 |
Keywords
- audiology
- dehiscence
- plasmacytoma
- temporal bone
- Vestibular system