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Multiple myeloma typically presents with systemic symptoms secondary to skeletal lytic lesions, anemia, renal failure, infection, and hyperviscosity syndrome; a diagnosis of multiple myeloma is not suspected in the absence of these features. Multiple myeloma of the skull base is very rare. We present the case of a 66-year-old man who came to us with a 2-year history of disequilibrium and who was found to have multiple myeloma with extensive involvement of the skull base.<\/jats:p>","DOI":"10.1177\/014556131109000113","type":"journal-article","created":{"date-parts":[[2019,1,10]],"date-time":"2019-01-10T03:19:38Z","timestamp":1547090378000},"page":"E6-E9","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Skull Base Presentation of Multiple Myeloma"],"prefix":"10.1177","volume":"90","author":[{"given":"Anil","family":"Joshi","sequence":"first","affiliation":[{"name":"From the Neurotology and Skull Base Surgery Unit, Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, U.K."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Jiang","sequence":"additional","affiliation":[{"name":"From the Neurotology and Skull Base Surgery Unit, Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, U.K."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pranay","family":"Singh","sequence":"additional","affiliation":[{"name":"From the Neurotology and Skull Base Surgery Unit, Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, U.K."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Moffat","sequence":"additional","affiliation":[{"name":"From the Neurotology and Skull Base Surgery Unit, Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, U.K."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,1,1]]},"reference":[{"key":"bibr1-014556131109000113","unstructured":"DurieBG, GilesFJ. 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