Publication

Abstract : The objective of this case report is to highlight the importance of audiological investigations in a patient whose sole complaint was difficulty hearing over telephone. The patient is a 45 year old man, approached for an amplification device for his reported difficulty of hearing over the telephone in the left ear of five years duration. A telephonic conversation test revealed functionally adequate hearing bilaterally. However, detailed audiological investigations suggested left retrocochlear lesion with possible involvement of the brainstem. This audiological formulation led to neuroimaging studies, which identified an epidermoid in the cerebellopontine angle. Thus, this case report emphasizes the importance of detailed audiological work-up in patients who are neurologically asymptomatic to unravel the neuroauditory lesions.