Clinician
A 60-year-old with one-sided hearing loss and poor word clarity
A 60-year-old describes gradual hearing loss in the right ear with disproportionately poor clarity of speech and occasional unsteadiness. Otoscopy is normal bilaterally.
Investigations
Audiogram
Tympanogram
Normal type A tympanogram. Asymmetric high-frequency sensorineural loss with no air-bone gap. Acoustic reflexes elevated on the right with positive reflex decay.