BACKGROUND: audiological manifestations in Woake`s Syndrome. PROCEDURE: a female adult patient diagnosed with Woake's Syndrome has undergone clinical history, pure tone audiometry, speech audiometry, acoustic immittance measures and revision of hearing aids. Her record files were also reviewed. RESULTS: three different pure tone audiometries were compared and indicated: flat audiometric configuration, with two evaluations indicating mixed hearing loss, and, in 2006, a moderate-to-severe sensorineural hearing loss with flat tympanograms, absence of acoustic reflexes bilaterally and good WRS. An increase of about 15 dB to 20dB of pure tone thresholds and 15 dB to 30 dB of bone thresholds was observed in 10 years of evolution. CONCLUSION: the study of the clinical manifestations concerning Woakes´s Syndrome allowed the acceptance of the coexistence between the sensory neural hearing loss and the type B tympanometric curve.