What is the most common neurologic complication of Paget's disease of the bone?

What is the most common neurologic complication of Paget's disease of the bone?

• A. Tremor
• B. Hearing loss
• C. Dizziness
• D. Seizures

Answer: (B)

Paget disease causes abnormal, rapid bone turnover that can thicken the skull, especially the temporal bones. When the skull is involved, the auditory system—nerves and middle/inner ear structures—can be compressed or function impaired, most commonly leading to gradual hearing loss. While dizziness, facial nerve palsy, or other neurologic issues can occur, they are less frequent. Tremor and seizures are not typical neurologic complications of Paget disease. So, hearing loss is the most common neurologic complication because skull involvement directly disrupts the auditory pathway.

Paget disease causes abnormal, rapid bone turnover that can thicken the skull, especially the temporal bones. When the skull is involved, the auditory system—nerves and middle/inner ear structures—can be compressed or function impaired, most commonly leading to gradual hearing loss. While dizziness, facial nerve palsy, or other neurologic issues can occur, they are less frequent. Tremor and seizures are not typical neurologic complications of Paget disease. So, hearing loss is the most common neurologic complication because skull involvement directly disrupts the auditory pathway.