Importance of Audiologic and Vestibular Evaluation in the Diagnosis of Unilateral Vestibular Schwannoma
AM is a 34-year-old male police officer who made an appointment with otolaryngology in July 2016. AM’s medical history is significant for non-Hodgkin lymphoma, which is a malignancy of the lymphatic system. He was diagnosed when he was in his early 20s and was treated with chemotherapy and radiation therapy.
AM scheduled an appointment with otolaryngology due to reported sudden hearing loss and nonpulsatile tinnitus in the right ear beginning approximately 3 weeks prior. He also reported intermittent vertigo and imbalance as well as facial weakness on the right side. The dizziness and facial weakness began 2 days before scheduling an appointment with otolaryngology. An oral steroid was prescribed by the otolaryngologist due to the sudden onset of AM’s hearing loss and he was referred to audiology for a comprehensive audiologic and videonystagmography (VNG) evaluation.