Trainee
A 52-year-old with sudden hearing loss after a sneeze
A 52-year-old reports that hearing in one ear dropped abruptly during a forceful sneeze. There is no pain, discharge or vertigo. Otoscopy shows an intact, normal-looking drum.
Investigations
Audiogram
Tympanogram
Abnormally deep tympanometric peak at normal pressure, absent acoustic reflexes, a large downsloping conductive loss.