Premium
A Window Into the Whole Story: Temporal Bone Plasmacytoma Presenting With a Mobile Third Window
Author(s) -
Pogson Jacob M.,
Taylor Rachael L.,
Thompson Elizabeth O.,
Magnussen John S.,
Welgampola Miriam S.,
Halmagyi G. Michael
Publication year - 2021
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.28951
Subject(s) - medicine , vestibular system , temporal bone , plasmacytoma , multiple myeloma , valsalva maneuver , vertigo , nystagmus , audiology , anatomy , surgery , radiology , blood pressure
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. Laryngoscope , 131:E966–E969, 2021
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom