March 31, 2004 Internet Rounds

Contributor:

Dr. Kris Kumar


Consult 1

Age: 40

Sex: Male

History: 2 years of headache. Poor hearing on the right side. Numbness in the right half of the face.


Examination:

  • GCS 15
  • R 5th (absent corneal reflex) 7th & 8th palsy
  • Nystagmus to right
  • Left hyperreflexia

MRI of Brain


Diagnosis

What is it? How would you manage it?