Cerebellopontine angle tumor presenting as acute audiovestibular syndrome

BACKGROUND: Acute audiovestibular deficits may be a harbinger of vestibular schwannoma (VS).

OBJECTIVE: To investigate clinical and laboratory features of 25 consecutive patients with VS presenting with acute audiovestibular deficits.

METHODS: A symptomatic combination of acute audiovestibular deficits was investigated. Audiometric and vestibular function tests, and internal auditory canal magnetic resonance imaging (IAC MRI) results were evaluated.

RESULTS: Varying combinations of symptoms may develop in VS patients with acute audiovestibular deficits, of whom sudden hearing loss (HL) without acute vertigo or acute facial nerve palsy (FNP) was most common. The most common audiometric configuration was high-tone hearing loss, and no patient showed low-tone hearing loss. IAC MRI demonstrated that the tumor had an intracanalicular portion and attachment to the bony IAC wall in all patients and widened the IAC wall in some patients.

CONCLUSION: Different symptomatic combinations of acute audiovestibular deficits may develop in patients with VS. Awareness about the possibility of VS as a cause of sudden HL, acute vertigo, and acute FNP, as well as subsequent IAC MRI scanning is vital to earlier diagnosis of VS in these patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:143

Enthalten in:

Acta oto-laryngologica - 143(2023), 11-12 vom: 29. Nov., Seite 951-957

Sprache:

Englisch

Beteiligte Personen:

Jung, Taesik [VerfasserIn]
Kim, Hansol [VerfasserIn]
Jang, Minho [VerfasserIn]
Kim, Taehee [VerfasserIn]
Lee, Dong-Han [VerfasserIn]
Shin, Jung Eun [VerfasserIn]
Kim, Chang-Hee [VerfasserIn]

Links:

Volltext

Themen:

Cerebellopontine angle tumor
Facial nerve palsy
Hearing loss
Journal Article
Vertigo
Vestibular schwannoma

Anmerkungen:

Date Completed 29.01.2024

Date Revised 29.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/00016489.2023.2290202

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36599345X