Bilateral incudomalleolar dislocations: an unusual cause of deafness

A 57-year-old woman was seen in an outpatient neurosurgery clinic after reporting daily headaches, a ‘whooshing and squelching’ sound in her head and reduced hearing in her left ear. Three months' prior she required admission following serious head trauma. Imaging at that time revealed multiple skull fractures with extra-axial haemorrhages. Follow-up thin section CT of the petrous …