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Bulletin of the New York Academy of... Sep 1979
Topics: Adult; Humans; Male; Neuroma, Acoustic; Tomography, X-Ray Computed
PubMed: 290400
DOI: No ID Found -
Auris, Nasus, Larynx 1987A case of acoustic neuroma presenting with sudden and fluctuating hearing loss is reported. The patient was a 38-year-old Japanese woman who noticed a sudden onset of...
A case of acoustic neuroma presenting with sudden and fluctuating hearing loss is reported. The patient was a 38-year-old Japanese woman who noticed a sudden onset of hearing loss and tinnitus in the right ear. With a provisional diagnosis of sudden deafness, she was subjected to conservative therapy, including steroid hormone. The hearing started to recover and reached a normal level 2 months after the treatment. Meanwhile, the results of an ABR and plain skull X-rays aroused a suspicion of acoustic neuroma. She was operated on via a middle cranial fossa approach and an acoustic neuroma occupying the internal auditory meatus was removed.
Topics: Acute Disease; Adult; Audiometry; Diagnosis, Differential; Female; Hearing Loss; Hearing Loss, Sudden; Humans; Neuroma, Acoustic; Pneumoradiography; Recurrence; Tomography, X-Ray Computed
PubMed: 3451735
DOI: 10.1016/s0385-8146(87)80017-2 -
Otolaryngology--head and Neck Surgery :... Jan 1987Although total excision is accepted as the standard of care in the treatment of acoustic neuromas, for the elderly patient this approach is modified. Small tumors which...
Although total excision is accepted as the standard of care in the treatment of acoustic neuromas, for the elderly patient this approach is modified. Small tumors which cause only eighth nerve symptoms of hearing loss and tinnitus can be followed radiologically while larger tumors with brain stem compression may be subtotally excised through the translabyrinthine route. Our standard treatment for Menière's disease--that is refractory to medical management--has been vestibular nerve section through a retrolabyrinthine approach. In the event of bilateral Menière's disease or Menière's disease in an only hearing ear, treatment with low-dose intramuscular injections of streptomycin sulfate is preferred. Two elderly patients are discussed, each of whom has an acoustic neuroma in one ear and Menière's disease in the other. These patients' histories, diagnostic evaluations, treatment rationale, and follow-up data are presented to illustrate the decision-making process and the management of complicated and unusual cases.
Topics: Aged; Humans; Male; Meniere Disease; Neuroma, Acoustic; Streptomycin
PubMed: 3118295
DOI: 10.1177/019459988709600107 -
Otolaryngology--head and Neck Surgery :... Jul 1995A prospective study of the consequences of the wait-and-see policy in in patients with neuroradiologic diagnostic evidence of having vestibular schwannoma was conducted...
A prospective study of the consequences of the wait-and-see policy in in patients with neuroradiologic diagnostic evidence of having vestibular schwannoma was conducted in a series of 123 patients (127 tumors) over a 20-year period, from 1973 to 1993. The mean follow-up period was 3.4 years, mean annual growth rate was 3.2 mm/year, mean annual volume growth rate was 0.72 ml/year, and mean annual relative growth rate was 41%. Tumor growth was observed in 90 (74%) patients (94 tumors), no growth was seen in 23 (18%) patients (23 tumors), and negative tumor growth was seen in 10 (8%) patients (10 tumors). Surgery due to tumor growth was performed in 35 (28%) patients (35 tumors), 7 (6%) patients (7 tumors) were treated with gamma-radiation and/or shunt insertion, 7 (6%) patients died of brain stem herniation induced by tumor compression, 9 (7%) patients died of non-tumor-related causes, 28 patients were classified as candidates for hearing preservation surgery, and 21 (75%) patients lost their candidacy during the observation period due to tumor growth and/or deterioration of hearing. The results may limit indications for allocation of patients with vestibular schwannoma to the wait-and-see group.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Female; Humans; Male; Middle Aged; Neuroma, Acoustic; Prospective Studies; Survival Rate; Treatment Outcome
PubMed: 7603722
DOI: 10.1016/S0194-59989570138-9 -
Journal of Clinical Neuroscience :... Feb 2012The objectives of this study were to describe anxiety and depression levels among acoustic neuroma patients; examine differences in anxiety and depression across the... (Comparative Study)
Comparative Study
The objectives of this study were to describe anxiety and depression levels among acoustic neuroma patients; examine differences in anxiety and depression across the acoustic neuroma management options of microsurgery, radiation and observation; and to investigate management, medical and demographic factors that might predict anxiety and depression in this patient group. A cross-sectional questionnaire was completed by 205 adults diagnosed with, or treated for, a unilateral acoustic neuroma within five years of questionnaire distribution. Median age of participants was 57.0 years, and 120 (58.5%) were female. Anxiety and depression were measured using the Hospital Anxiety and Depression Scale (HADS). Clinically significant anxiety was reported by 29.8% of participants and 10.2% were depressed. Mean anxiety and depression scores did not differ from general population norms. No significant differences in anxiety and depression were found across management options. Time since management, number of symptoms and comorbid medical conditions predicted anxiety, while depression was predicted by number of symptoms. This appears to be the first study among acoustic neuroma patients in which anxiety and depression were compared across management options. Treating physicians should be aware that as the number of acoustic neuroma symptoms increases, so may the likelihood of clinically significant anxiety and depression.
Topics: Adult; Aged; Anxiety; Cross-Sectional Studies; Depression; Disease Management; Female; Humans; Male; Middle Aged; Neuroma, Acoustic; Surveys and Questionnaires; Young Adult
PubMed: 22051029
DOI: 10.1016/j.jocn.2011.06.006 -
The American Journal of Otology Oct 1979A comparative study of the suboccipital and translabyrinthine approaches for acoustic neuroma removal in 91 cases using a otologic-neurosurgical team is presented. Fifty... (Comparative Study)
Comparative Study
A comparative study of the suboccipital and translabyrinthine approaches for acoustic neuroma removal in 91 cases using a otologic-neurosurgical team is presented. Fifty of these cases involved the suboccipital route using microsurgical techniques; the remaining cases involved the standard otologic routes. The same neurosurgeon participated in all 91 cases. Two otologists participated in the study. The results of our series of cases indicate that the suboccipital route is the procedure of choice for acoustic neuroma removal.
Topics: Ear, Inner; Hearing; Humans; Microsurgery; Neuroma, Acoustic; Occipital Bone; Patient Care Team; Postoperative Care; Postoperative Complications; Preoperative Care
PubMed: 554475
DOI: No ID Found -
Otolaryngologic Clinics of North America Jun 2023Vestibular schwannomas (VSs) are benign, slow-growing tumors of the eighth cranial nerve. Sporadic unilateral VSs constitute approximately 95% of all newly diagnosed... (Review)
Review
Vestibular schwannomas (VSs) are benign, slow-growing tumors of the eighth cranial nerve. Sporadic unilateral VSs constitute approximately 95% of all newly diagnosed tumors. There is little known about risk factors for developing sporadic unilateral VS. Potential risk factors that have been reported are familial or genetic risk, noise exposure, cell phone use, and ionizing radiation, whereas protective factors may include smoking and aspirin use. More research is needed to elucidate the risk factors for development of these rare tumors.
Topics: Humans; Neuroma, Acoustic; Risk Factors; Smoking; Aspirin
PubMed: 37019771
DOI: 10.1016/j.otc.2023.02.003 -
Movement Disorders : Official Journal... Jan 2008
Topics: Cerebellopontine Angle; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Neuroma, Acoustic; Rest; Tremor
PubMed: 17994589
DOI: 10.1002/mds.21811 -
Otolaryngologic Clinics of North America Oct 1997The Acoustic Neuroma Association (ANA) was established in 1981 in an effort to improve patients' treatment experiences and subsequent recovery by providing realistic and...
The Acoustic Neuroma Association (ANA) was established in 1981 in an effort to improve patients' treatment experiences and subsequent recovery by providing realistic and accurate patient information and by offering opportunities for positive interaction with other acoustic tumor patients. A history of the organization is given along with a description of publications and other ways the ANA can be a useful resource for patients and physicians. The ANA's growth since its founding demonstrates its usefulness to patients and physicians.
Topics: History, 20th Century; Neuroma, Acoustic; Societies, Medical; United States
PubMed: 9295260
DOI: No ID Found -
Acta Neurochirurgica 1991Three cases with large space-occupying cysts in the cerebellopontine angle are reported. CT and MRI findings were not typical for acoustic schwannomas but at operation,...
Three cases with large space-occupying cysts in the cerebellopontine angle are reported. CT and MRI findings were not typical for acoustic schwannomas but at operation, besides the large cysts, small acoustic schwannomas could be detected and removed. The clinical and neuroradiological features of this unusual variety and the CT and MRI differential diagnosis of cerebellopontine angle lesions are discussed.
Topics: Adult; Craniotomy; Diagnosis, Differential; Female; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Neuroma, Acoustic; Postoperative Complications; Tomography, X-Ray Computed; Vestibulocochlear Nerve
PubMed: 1927602
DOI: 10.1007/BF01400678