{"ops":[{"insert":"A 55 year old man presents with impaired hearing and tinnitus of his right ear for 3 years.\n\nThere was no history of trauma, headache, convulsions, episodes of vomiting, or prolonged exposure to loud noise.\n\nHis medical history is unremarkable and he is not on any medications.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-187_en.png"}},{"insert":"\n"}]}
2
Investigate
Audiometry
{"ops":[{"insert":"There is a R\/s sensorineural hearing loss affecting high frequencies.\n"}]}
Lumbar Puncture
{"ops":[{"insert":"All indices in the cerebrospinal fluid (CSF) analysis report are within normal parameters.\n"}]}