0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Clinical Problem Solving: Radiology |

Radiology Quiz Case 1

Shraddha S. Mukerji, MD; Hemant A. Parmar, MD; Melissa A. Pynnonen, MD
Arch Otolaryngol Head Neck Surg. 2007;133(3):298. doi:10.1001/archotol.133.3.298.
Text Size: A A A
Published online

Extract

A 6-year-old girl presented with bilateral progressive hearing loss 1 month after being successfully treated for bacterial meningitis. There was no history suggestive of vertigo, tinnitus, otorrhea, or ear trauma. Her family history was not contributory. Ear, nose, and throat examinations did not reveal any abnormality except bilateral sensorineural deafness. Neurologic and systemic findings were normal. An audiogram confirmed bilateral severe sensorineural deafness (the hearing loss was greater in the left ear than in the right ear). Coronal T2-weighted images through the membranous labyrinth showed a decrease in the T2 signal (Figure 1, arrows) bilaterally. The decrease was more marked in the basal turn of the left cochlea (Figure 2, arrowheads). A coronal contrast-enhanced T1-weighted image showed inflammatory enhancement in the membranous labyrinths (Figure 3, arrows) bilaterally, but the enhancement was more marked in the basal turn of the left cochlea. There was some enhancement in the left middle ear cavity as well.

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination
Evidence Summary and Review 2

The Rational Clinical Examination
Detecting Pleural Effusion by Chest Radiograph

brightcove.createExperiences();