Читать книгу Neurology - Charles H. Clarke - Страница 116

Testing is unnecessary when there is no problem. With some hearing loss, note distance at which a whisper is heard. Rinne & Weber tests are now felt to be of doubtful value.

My approach: occlude gently both external auditory meati with the tips of each index finger. Rustle with each middle finger the skin/hair over the mastoid – a measure of bone conduction. If there is marked difference between each side, sensorineural loss is usually present. Any suspicion of a CPA lesion: MRI and audiometry.