A case of an attic lesion presenting with unilateral hearing loss, diagnosed as a meningioma: a case report and review of the literature

Primary tympanic meningiomas can often be misdiagnosed, particularly when the tympanic membrane is intact. Symptoms such as hearing loss and persistent middle ear effusion may mimic secretory otitis media. Direct examination of the tympanic membrane and prompt imaging, such as computed tomography (CT) scan or magnetic resonance imaging (MRI), are vital for ruling out middle ear lesions and facilitating early intervention. This case report aims to highlight significant causes of unilateral hearing loss that are often overlooked and misclassified as idiopathic sensorineural hearing loss, which otolaryngologists should consider in their evaluations.