Canonical answer

Vestibular schwannoma

The pattern is progressive unilateral sensorineural hearing loss with tinnitus, imbalance, normal otoscopy, and an enhancing internal-auditory-canal/cerebellopontine-angle lesion.

Clinical pearl

Asymmetric sensorineural hearing loss with unilateral tinnitus deserves retrocochlear thinking until excluded.

Practice point

Asymmetric sensorineural hearing loss with unilateral tinnitus deserves retrocochlear thinking until excluded.

Learning points

The pattern is progressive unilateral sensorineural hearing loss with tinnitus, imbalance, normal otoscopy, and an enhancing internal-auditory-canal/cerebellopontine-angle lesion.
Asymmetric sensorineural hearing loss with unilateral tinnitus deserves retrocochlear thinking until excluded.

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Gradual one-sided audiovestibular symptoms

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Practical takeaway: Asymmetric sensorineural hearing loss with unilateral tinnitus deserves retrocochlear thinking until excluded.

Reflection checkpoint: Which clue moved you most toward the diagnosis, and which alternative did you need to exclude?

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Study context

Challenge type

Diagnosis

Exam tracks

CPD/CME FRCS ORL-HNS (UK) ABOHNS (USA) EBEORL-HNS

Topic tags

Otology Neurotology Hearing Loss Tinnitus Cpa Daily Dx Diagnosis Case Simplified Diagnosis Schema

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Daily Dx Case 019 Diagnosis · Standard

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