{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:10:04Z","timestamp":1756293004166,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,7,26]]},"abstract":"<jats:p>A young man with cystic fibrosis in his early 30s presented to accident and emergency with acute onset unilateral lower motor neuron facial palsy, hearing loss and impaired balance following <jats:italic>Mycobacterium abscessus<\/jats:italic> eradication induction therapy. The hearing loss and impaired balance developed over a 3-day period prior to the onset of facial palsy. Further investigation with a CT scan and MRI scan led to a diagnosis of vestibular schwannoma. The facial palsy resolved with steroid treatment; however, the hearing loss is irreversible, which has had a profound impact on his life and career. This case is intriguing as the cause and association of events are unclear. A working diagnosis of incidental Bell\u2019s palsy and unilateral hearing loss caused by the vestibular schwannoma was applied. However, the onset of these symptoms in relation to <jats:italic>M. abscessus<\/jats:italic> eradication induction therapy promotes discussion.<\/jats:p>","DOI":"10.1136\/bcr-2018-225572","type":"journal-article","created":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T12:12:24Z","timestamp":1535544744000},"page":"bcr-2018-225572","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Unusual discovery of a vestibular schwannoma following eradication therapy for <i>Mycobacterium abscessus<\/i>"],"prefix":"10.1136","volume":"2018","author":[{"given":"Chloe","family":"Wilson","sequence":"first","affiliation":[{"name":"Medical Postgraduate Education and Training, Cardiff University, Cardiff, UK"},{"name":"All Wales Adult CF Centre, University Hospital Llandough, Llandough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie","family":"Duckers","sequence":"additional","affiliation":[{"name":"All Wales Adult CF Centre, University Hospital Llandough, Llandough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Rajenderkumar","sequence":"additional","affiliation":[{"name":"Audio-vestibular medicine, University Hospital of Wales, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,8,29]]},"reference":[{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2015-207360"},{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.2","first-page":"601","article-title":"Pharmacological drugs inducing ototoxicity, vestibular symptoms and tinnitus: a reasoned and updated guide","volume":"15","author":"Cianfrone","year":"2011","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.3","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s12070-011-0151-8","article-title":"Ototoxicity: the hidden menace","volume":"63","author":"Bisht","year":"2011","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.4","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5002434"},{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.5","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/165.6.1026"},{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.6","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.01050-15"},{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.7","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.9.6.956"},{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.8","doi-asserted-by":"crossref","first-page":"701","DOI":"10.5694\/mja11.10850","article-title":"Gentamicin ototoxicity: a 23-year selected case series of 103 patients","volume":"196","author":"Ahmed","year":"2012","journal-title":"Med J Aust"},{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.9","doi-asserted-by":"publisher","DOI":"10.1586\/14787210.2014.878648"},{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.10","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-197005000-00007"},{"key":"2025082703304671000_2018.aug29_1.bcr-2018-225572.11","doi-asserted-by":"crossref","unstructured":"Bowsher B . 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