An intracranial
space-occupying heterogeneously contrast-enhancing, lesion at the level
of the left cerebello-medullary. Junction and contrast, enhancement of the
ipsilateral meninges. Cerebrospinal fluid analysis revealed a marked mixed
cell. Pleocytosis (nucleated cell count 655 cells / lL). The mass was visualized
within the horizontal ear canal by otoscopic examination. And a biopsy
was taken.Impression smears of the biopsy contained many anucleate keratinized
squamous epithelial cells mild mixed inflammation,,, And few presumptive
fibroblasts. With the provided clinical history and, MRI findings a
cytologic diagnosis of cholesteatoma. Was made. A ventral bulla osteotomy
was, performed
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