A Case of Myeloma with Facial Palsy

Abstract

Myeloma in the left temporal region was seen in a 71-year-old male who also had facial palsy, hearing loss and tinnitus on the left. In this case, none of the laboratory test results had indicated myeloma. Diagnosis of myeloma in this case was made from findings of a CT scan of temporal bone and the results of biopsy of the external auditory canal lesion. In the CT scan, marked destruction of the bone was seen, extending from the mastoid air cell to the posterior wall of the external auditory canal. The biopsy of the mass lesion in the left auditory canal revealed proliferation of lymphoplasmacytoid cells. This case is reported along with laboratory test findings, clinical findings, and a review of the literature.

Key Words:

• myeloma
• facial palsy
• temporal bone