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A 69-year-old white man had progressively more severe headaches for five weeks, and sudden persistent hearing loss developed four days before admission to the hospital. He had been healthy and had no history suggesting immune compromise or exposure to infectious agents. He was fully alert and oriented and had no neurologic abnormalities on examination, but he had severe bilateral sensorineural hearing loss and papilledema. A test for human immunodeficiency virus antibody was nonreactive. The results of magnetic resonance imaging of the brain and meninges with contrast agent were normal.
On lumbar puncture the opening pressure was 52 cm of water. . . . [Full Text of this Article] |
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