28th August 2020

A 58-year-old man attends his GP complaining of left-sided hearing loss

A 58-year-old man attends his GP complaining of left-sided hearing loss. He doesn’t think he’s noticed any problems with the right ear. The GP performs the Rinne and Weber tuning fork tests and obtains the following results:

• Weber test – the patient indicates that he can hear the sound loudest in his left ear 
• Rinne test on the left side – the patient hears the sound louder when the fork is held on the mastoid bone (Rinne negative)
• Rinne test on the right side – the patient hears the sound louder when held next to his ear (Rinne positive)

For the scenario above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.