Headache and dizziness in a 54-year-old man

Test Results

Appropriate testing is done, and results are shown:
  • Audiologic evaluation: Diminished pure tone average and speech recognition right ear, moderate.

  • Tinnitus Handicap Inventory score 65 (Grade IV, persistent and severe)

  • MRI of the head with contrast: 2-cm mass at internal auditory meatus with extension into the auditory canal. No impingement on other cranial nerves or cerebellum.