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An unusual presentation of epilepsy
F J Uddin1, C Nogueira, A Sama
1Department of Otorhinolaryngology, Queen's Medical Centre, Nottingham, UK.
Objective:
To report a case of fluctuating hearing due to auditory aura, as an unusual presentation of temporal lobe epilepsy.
Methods:
Case report and review of English language literature on temporal lobe epilepsy and auditory aura.
Results:
A 31-year-old man presented with intermittent symptoms of bilateral fullness in the ears associated with deafness. He was subsequently diagnosed with temporal lobe epilepsy. Further enquiry revealed a family history of epilepsy.
Conclusion:
Auditory aura as a presentation of temporal lobe epilepsy is rarely encountered in otolaryngological practice. This case highlights the importance of obtaining detailed information on epilepsy, including any family history of epilepsy, as a routine part of history-taking in patients presenting with fluctuating hearing loss.
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