Evidence map›Paper›PMID 41286999›Full record

ReviewJournal of medical case reports2025

A case of an attic lesion presenting with unilateral hearing loss, diagnosed as a meningioma: a case report and review of the literature.

Farzin Davoodi, Zahra Babamohamadi, Mahdi Khajavi, Farhad Mokhtarinejad, Mohaddese Fallahi, Meysam Abdollahi

Abstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Farzin DavoodiHearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Zahra BabamohamadiHearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. z.babamohamadi1993@gmail.com.ORCID http://orcid.org/0009-0001-0727-7382
Mahdi KhajaviHearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Farhad MokhtarinejadHearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohaddese FallahiDepartment of Pathology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Meysam AbdollahiHearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnilateral hearing loss can occur for several reasons. Common causes include sudden sensorineural hearing loss, acoustic neuroma, meningitis, and drug toxicity, among others. One rare tumor that can cause sensorineural hearing loss is meningioma. Extra-cranial (ectopic) meningiomas have been reported in various anatomical locations. Ectopic meningiomas commonly occur near the sensory organs in the head and neck. CASE PRESENTATION: This report discusses a 48-year-old Iranian woman with unilateral hearing loss, evaluated at our tertiary care center. Diagnostic assessments revealed a unilateral mass in the left attic, confirmed to be a meningioma. Pathological examination showed monomorphic meningothelial cells with round nuclei and eosinophilic cytoplasm. Immunohistochemistry revealed negative results for chromogranin and synaptophysin, patchy positivity for EMA, and diffuse staining for progesterone receptor. Follow-up indicated no recurrence or hearing deterioration, and since the mass was completely excised without brain extension, radiotherapy was considered unnecessary.

conclusionsPrimary tympanic meningiomas can often be misdiagnosed, particularly when the tympanic membrane is intact. Symptoms such as hearing loss and persistent middle ear effusion may mimic secretory otitis media. Direct examination of the tympanic membrane and prompt imaging, such as computed tomography (CT) scan or magnetic resonance imaging (MRI), are vital for ruling out middle ear lesions and facilitating early intervention. This case report aims to highlight significant causes of unilateral hearing loss that are often overlooked and misclassified as idiopathic sensorineural hearing loss, which otolaryngologists should consider in their evaluations.

Indexed as

Ear NeoplasmsHearing Loss, UnilateralMeningeal NeoplasmsMeningiomaDiagnosis, DifferentialFemaleHearing Loss, SensorineuralHumansMagnetic Resonance ImagingMiddle AgedTomography, X-Ray ComputedMelanomaMeningiomaSchwannomaSensorineural hearing loss

Identifiers

PMID41286999
PMCPMC12642263

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.