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- Title
Some Uncharacteristic Clinical Signs and Symptoms of Acoustic Neuroma.
- Authors
Berrettini, Stefano; Ravecca, Francesca; Russo, Francesco; Bruschini, Paolo; Sellari-Franceschini, Stefano
- Abstract
Objective: The most common initial symptoms of the acoustic neuroma are unilateral hearing loss that evolves gradually, tinnitus, and unsteadiness. However, atypical presentations may sometimes occur, more often with a small intracanalicular neuroma or with a large medial neuroma placed in the cerebellopontine angle. Results: In our group of 51 patients suffering from acoustic neuroma, atypical presentations were observed in 9 cases (17.6%). Two patients had normal hearing function but reported tinnitus; two patients reported sudden hearing loss, with partial recovery; two patients had a history of fluctuating hearing loss; two patients reported neurologic symptoms (one reported trigeminal paresthesia and the other had a history of trigeminal paresthesia and recurrent headache); and one patient reported profound hearing loss for many years and the recent onset of unsteadiness. Conclusion: Patients with these atypical presentations have m undergo a diagnostic evaluation for acoustic neuroma and must be evaluated with BAEPs and then with gadolinium-enhanced MRI.
- Subjects
ACOUSTIC neuroma; ACOUSTIC tumors; DEAFNESS; HEARING disorders; TINNITUS
- Publication
Journal of Otolaryngology, 1997, Vol 26, Issue 2, p97
- ISSN
0381-6605
- Publication type
Article