Introduction. We will discuss about symptoms exacerbation and subsequent accidental diagnosis in a patient with paraganglioma of the middle ear, a usually benign vascular tumor, clinically presenting with pulsatile tinnitus, cranial nerve pathology, hearing loss, dizziness and hypertensive crises. Material and methods. Woman, 65 years old, with no medical or surgical history, who presented with mild hearing loss in the last 3 years, intermittent tinnitus in the left ear, after complex treatment of CoV infection, in the intensive care unit, the patient notices the worsening of the mentioned symptoms, the appearance of hypertensive crises with high, uncorrectable values. On examination: otalgia, absent otorrhea, and the presence of a rhythmically pulsating red mass, behind the intact tympanic membrane, we suspected the presence of a VP, the imaging revealed volume mass in the left ear, the angiography revealed a hypervascular tumor, fed from left superficial temporal artery. Results. After confirming the diagnosis of left tympanic paraganglioma, it was decided to perform embolization of the main vessel feeding the tumor and surgical laser excision 24 hours after the procedure, with the aim of preventing intraoperative hemorrhage, diagnosis confirmed by biopsy. Conclusions. The damage to the vascular endothelium caused by the CoV infection worsens the evolution of chronic vascular pathologies, in this clinical case the increasing of the disease symptoms requiring the patient to be referred to a specialist, which allowed the successful diagnosis and treatment of the pathology, the absence of intra- and postoperative complications specific to the mass effect of large paragangliomas.