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Am J Otolaryngol. 2002 May-Jun;23(3):177-80.

Otalgia as the sole presenting manifestation of subdural hematoma.

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1
Department of Neurology, Case Western Reserve University School of Medicine, University Hospitals of Cleveland, and Louis Stokes Veterans Affairs Medical Center, Cleveland, OH 44106-5000, USA. ooz@po.cwru.edu

Abstract

A case is reported of a 57-year-old man with sudden development of nontraumatic left-sided otalgia without any localizing features on otolaryngologic or neurologic examinations. The condition persisted despite empirical antibiotic therapy and simple analgesics. A subsequent computed tomography of the head revealed a subacute left frontoparietal subdural hematoma that was confirmed on magnetic resonance imaging. Neurosurgical drainage was performed with complete symptom resolution. This case report illustrates a possible rare sole presenting manifestation of subdural hematoma. This condition should be considered early in cases of otalgia if no causes are deduced after extensive otolaryngologic evaluation.

PMID:
12019488
[Indexed for MEDLINE]
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