A Case of Mistaken Identity
This case report outlines the evaluation and treatment options for a patient previously diagnosed with Ménière disease. The patient was evaluated and differentially diagnosed based on history, clinical examination, audiological and acoustic immittance test results, electrocochleography (ECoG), vestibular evaluation, and spiral computed tomographic (CT) scans.
SC was 65 years of age when she was first seen in the audiology clinic. She had been seen at another large medical center for evaluation 7 months prior and had been diagnosed with left Ménière disease. She reported a 20-year history of fullness and ringing in the left ear as well as imbalance. At the time of her initial visit to this clinic SC reported a feeling of constant imbalance and constant pressure in her left ear. She also reported hearing loss in her left ear. In addition, she reported that her eyes “jump” when she hears loud sound in her right ear such as the telephone ringing. Finally, she stated she feels a rattle or vibration in her head when she talks.