HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Whiteley, W.N. Articles by Warlow, C.P. Search for Related Content PubMed Articles by Whiteley, W.N. Articles by Warlow, C.P.

An Elderly Man with Cranial Nerve Palsies, Otalgia and Otorrhoea

^* Specialist Registrar in Neurology and
Professor of Medical Neurology, Department of Clinical Neurosciences, Western General Hospital, Edinburgh;
Consultant Neurologist, National Hospital for Neurology and Neurosurgery, Queen Square, London;
Consultant Neuropathologist, Department of Pathology, Western General Hospital, Edinburgh. E-mail: wwhitele{at}staffmail.ed.ac.uk

EXTRACT

THE STORY

In 2001, a retired seaman in his seventies presented with a progressive history of ear pain, deafness, double vision and facial weakness. Several months prior to this he had started to notice discomfort in his right ear and parotid area, with an aural discharge. Soon afterwards he noticed a similar pain in his left ear. He consulted an ear, nose and throat (ENT) surgeon who syringed both ears and drained a right middle ear effusion by inserting a grommet and performing a myringoplasty. A nasal polyp was removed at the same time. He received a two-week course of coamoxiclav. Despite these interventions, the pain worsened and he began to have difficulty hearing in both ears. Four months later he began to experience intermittent double vision and his hearing became worse. After a short course of oral steroids he developed left facial weakness. His ENT surgeon arranged a consultation ...

[PDF of this article]