Acoustic Neuroma: Diagnostics and Therapeutics Procedures
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2012, Vol 1, Issue 1
Abstract
Between six and ten percent of brain tumours are located in the cerebellopontine angle. Most of them are vestibular schwannomas (80–90%). Most common symptoms are: unilateral hearing loss, sudden hearing loss, tinnitus, disequilibrium, vertigo, facial nerve or trigeminial nerve dysfunction and headache. According to the National Institute of Health Consensus Development Conference gadolinium MRI constitutes the gold standard during diagnostic process and surgery constitutes the best treatment option. There are three possible approaches: middle fossa approach, retrosigmoid approach and translabyrinthine approach. At present, the aim of tumour is defied as its total removal combined with preservation of patient’s neurological functions after surgery to the greatest possible extent. There are also alternative to microsurgery treatment options, such as “wait-and-see policy” or radiotherapy. The aim of this study is to review diagnostic methods and treatment options connected with acoustic neuroma. The analysis fouses on proposing therapeutic procedures that would be useful in everyday practice.
Authors and Affiliations
Barbara Jamróz, Kazimierz Niemczyk
Air-conducted cervical and ocular vestibular evoked miogenic potentials in patients with Susac’s syndrome
<b>Aim:</b> To evaluate acoustically evoked cervical and ocular vestibular miogenic potentials (AC cVEMP and oVEMP) in patients with Susac’s syndrome. We did not seek for a diagnostic replacement test in those patients,...
Nietypowy przypadek pacjentki z limfadenopatią szyjną - postać oczno-węzłowa tularemii
Tularemia jest antropozoonozą wywołaną przez wewnątrzkomórkową gram ujemną bakterię tlenową Francisella tularensis, bardzo rzadko występującą w Polsce [5, 8]. Najczęściej przenoszona jest przez króliki, zające oraz inne...
Sjögren's syndrom – the review of the latest diagnostic guidelines essential for otolaryngologists
Sjogren’s syndrome (SS) is a complex connective tissue disease with autoimmune background and high clinical, radiological and molecular heterogeneity. SS is typically manifested by sicca syndrome, characterized by dry ey...
Posttraumatic temporal bone meningocele
The authors describe the case of a 23-year-old man, with posttrauma tic tempo ral bone encephalic herniat ion. The patient had experi enced fall fr om height 3 years ago. His surgical trea tment was included with middle...
Chronic atrophic pharyngitis as a geriatric problem
Chronic atrophic pharyngitis is a special form of chronic inflammation of the throat, which coexist change production and mirrors. The disease most often refers to older people, especially women. It results from the prog...