Paraganglioma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

Common physical examination findings of paragangliomas include painless neck mass, hearing loss, and red eardrum.

Physical Examination Finding

Head and Neck

• Hearing loss
• Painless neck mass
• Red drum (reddish bulge behind an intact eardrum)
• Brown's sign (application of pressure to the external ear canal with the help of a pneumatic ear speculum the mass could be seen to blanch)
• facial nerve palsy
• loss of gag reflex