Clinical features of bilateral temporal bone xanthoma with LDLR gene mutation

Here we presented a rare case of bilateral temporal bone xanthoma associated with type II hyperlipidemia. The lesion caused osteolytic destruction in mastoid air cells, auditory ossicles and bony labyrinth. The patient was operated on the symptomatic side and the lesion was totally removed. The type of LDLR gene mutation had been clarified for the members of the patient's family. This case was the first one regarding bilateral temporal bone leading to retroauricular swelling. The patient need life-long follow-up by either CT or MR imaging.