Manifestations related to the ears:
(1) tinnitus
(2) vertigo
(3) bilateral loss of hearing (conductive and/or sensorineural)
Proposed mechanisms include:
(1) ankylosis of the ear ossicles
(2) compression of CN VIII
(3) cochlear damage (thickening of the labyrinthine capsule, other)
(4) distortion of the internal auditory meatus
Other findings in Paget's disease of the skull include:
(1) leonine facies
(2) palsy of other cranial nerves
(3) headache
Other manifestations of Paget's disease may include:
(1) bowing of the legs
(2) pathologic bone fractures
(3) peripheral neuropathy
Differential diagnosis:
(1) other causes of deafness
