Question

A 58-year-old man presents with recent-onset imbalance, right-sided hearing loss and tinnitus. Examination reveals decreased hearing on the right and impaired tandem gait. According to neurology guidelines, what is the most appropriate initial imaging modality?

Accepted Answer

Contrast-enhanced MRI of the internal auditory canals

Answer

Non-contrast CT brain

Answer

Plain skull X-ray

Answer

CT angiography

Answer

Ultrasound of the carotids

Practice question

A 58-year-old man presents with recent-onset imbalance, right-sided hearing loss and tinnitus. Examination reveals decreased hearing on the right and impaired tandem gait. According to neurology guidelines, what is the most appropriate initial imaging modality?