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Acoustic neuroma in a child treated with the aid of preoperative arterial embolization. Case report.Journal of Neurosurgery Aug 1984A child is described who presented with a large right vascular acoustic neuroma causing raised intracranial pressure and brain-stem compression. Ventriculoperitoneal...
A child is described who presented with a large right vascular acoustic neuroma causing raised intracranial pressure and brain-stem compression. Ventriculoperitoneal shunting and arterial embolization were performed prior to total tumor excision. Acoustic neuromas are a rarity in childhood, and preoperative arterial embolization has infrequently been described as an adjunct to acoustic neuroma surgery.
Topics: Cerebral Arteries; Child; Embolization, Therapeutic; Humans; Male; Neuroma, Acoustic; Preoperative Care
PubMed: 6737066
DOI: 10.3171/jns.1984.61.2.0396 -
Acta Oto-laryngologica 1991
Review
Topics: Audiometry, Evoked Response; Denmark; Humans; Neuroma, Acoustic; Surgical Procedures, Operative; Tomography, X-Ray Computed; Vestibular Function Tests
PubMed: 1950523
DOI: 10.3109/00016489109138392 -
Journal of Neurosurgical Nursing Aug 1981
Topics: Cerebrovascular Disorders; Diagnosis, Differential; Humans; Neuroma, Acoustic; Postoperative Care; Vestibulocochlear Nerve
PubMed: 6921218
DOI: No ID Found -
The Journal of the Oklahoma State... Apr 1989The recent literature addressing the problem of hearing loss after acoustic neuroma surgery is reviewed, and efforts to prevent such loss are discussed. Patient... (Review)
Review
The recent literature addressing the problem of hearing loss after acoustic neuroma surgery is reviewed, and efforts to prevent such loss are discussed. Patient selection for hearing preservation, tumor size, surgical approaches employed, the use of intraoperative evoked potential monitoring, and histologic considerations are discussed. From this discussion, the author concludes that careful selection of patients for appropriate surgical approaches with direct eighth nerve monitoring provides the optimal chance for hearing preservation in patients with acoustic neuromas.
Topics: Hearing Disorders; Humans; Intraoperative Period; Monitoring, Physiologic; Neuroma, Acoustic; Postoperative Complications
PubMed: 2654339
DOI: No ID Found -
Neurosurgery Clinics of North America Apr 2008A variety of surgical approaches are available in the management of acoustic neuroma. Each procedure has certain advantages and disadvantages in terms of surgical...
A variety of surgical approaches are available in the management of acoustic neuroma. Each procedure has certain advantages and disadvantages in terms of surgical exposure, the capability of preserving cranial nerve function, and postoperative morbidity. This article advocates tailoring the operative approach to each acoustic neuroma according to its size, location, and clinical manifestations.
Topics: History, 20th Century; Humans; Neuroma, Acoustic; Neurosurgical Procedures
PubMed: 18534336
DOI: 10.1016/j.nec.2008.02.010 -
Journal of Insurance Medicine (New... 2007
Topics: Humans; Insurance, Life; Male; Middle Aged; Neuroma, Acoustic; Radiosurgery; Risk; Treatment Outcome
PubMed: 17500357
DOI: No ID Found -
Journal of Neurosurgical Nursing Mar 1979
Topics: Aged; Cranial Nerves; Humans; Male; Neuroma, Acoustic; Postoperative Care; Preoperative Care
PubMed: 255557
DOI: No ID Found -
Acta Oto-laryngologica Apr 2015The head tilt response (HTR) test performed in a group of patients with chronic dizziness after acoustic neuroma surgery showed alterations in the gravitational vertical...
CONCLUSION
The head tilt response (HTR) test performed in a group of patients with chronic dizziness after acoustic neuroma surgery showed alterations in the gravitational vertical perception (GV).
OBJECTIVE
The assessment of the accuracy in the GV through the HTR test in patients with long-term balance disorders after acoustic neuroma surgery.
METHODS
The HTR was performed in two groups of patients that had undergone acoustic neuroma surgery: six uncompensated patients (UPs) who maintained vestibular symptoms 1 year after surgery and two compensated patients (CPs) without vestibular symptoms. Twelve healthy control adults were also tested (control group, CG). Three parameters were measured in the HTR test: steady-state error (SSE), rise time (TRS), and mean energy of the error signal per step (MEE).
RESULTS
The UP group showed higher values for the TRS and MEE parameters compared with the CG (p < 0.05) when performing the HTR test to the side of the lesion and to the contralateral side, while the SSE only showed significant higher values when the patient estimated the GV towards the side of the lesion. The two patients in the CP group did not have differences in the three parameters assessed when compared with the CG.
Topics: Aged; Case-Control Studies; Chronic Disease; Dizziness; Female; Gravity Sensing; Humans; Male; Middle Aged; Neuroma, Acoustic; Postoperative Complications; Postural Balance; Time Factors; Vestibular Function Tests
PubMed: 25748558
DOI: 10.3109/00016489.2014.974287 -
Journal of the Royal Society of Medicine Dec 1993
Topics: Humans; Neuroma, Acoustic; Prognosis
PubMed: 8308802
DOI: 10.1177/014107689308601202 -
Acta Oto-laryngologica Dec 2002In order to determine which variables influence recovery from acoustic neuroma resection, acutely postoperative patients were divided into two groups and treated twice... (Clinical Trial)
Clinical Trial Randomized Controlled Trial
In order to determine which variables influence recovery from acoustic neuroma resection, acutely postoperative patients were divided into two groups and treated twice daily at bedside as inpatients at a tertiary care center. Treatment times were increased gradually from 5 to 30 min. Exercise subjects underwent passive and active head movements and walking with augmented head movements. Control subjects received attention without exercise. Pre- and post-tests included vertigo intensity and frequency, low-frequency vestibulo-ocular reflex (VOR), posturography and path integration. Post-tests were given at discharge and at approximately 4-week intervals for 3 months. Multilevel statistical analyses showed that neither group assignment nor age affected the outcome. All measures were abnormal at discharge but improved towards normal within 3 weeks. VOR on the unoperated side returned to normal values but on the lesioned side did not. Therefore, compensation is influenced by tumor size but not by age or early postoperative vestibular rehabilitation. Most compensation occurs within 3 weeks, probably due to central mechanisms, although some measures may not recover completely.
Topics: Adult; Aged; Female; Head Movements; Humans; Male; Middle Aged; Motion Therapy, Continuous Passive; Neuroma, Acoustic; Physical Therapy Modalities; Postoperative Care; Postural Balance; Recovery of Function; Reflex, Vestibulo-Ocular; Vestibular Function Tests
PubMed: 12542203
DOI: No ID Found