Podcast
Questions and Answers
What is the primary concern regarding an acoustic neuroma if not diagnosed early?
What is the primary concern regarding an acoustic neuroma if not diagnosed early?
Which symptom is NOT commonly associated with acoustic neuroma?
Which symptom is NOT commonly associated with acoustic neuroma?
What is the potential outcome of surgery for tumors larger than 3 cm?
What is the potential outcome of surgery for tumors larger than 3 cm?
What type of therapy may help preserve hearing and vestibular function for small acoustic neuromas?
What type of therapy may help preserve hearing and vestibular function for small acoustic neuromas?
Signup and view all the answers
What should a patient be taught to report following surgery for acoustic neuroma?
What should a patient be taught to report following surgery for acoustic neuroma?
Signup and view all the answers
Study Notes
Acoustic Neuroma Overview
- Benign, unilateral tumor located at the entry of the vestibulocochlear nerve (CN VIII) into the internal auditory canal.
- Early diagnosis is crucial to prevent compression of the trigeminal and facial nerves, as well as arteries.
Symptoms
- Typically manifests in individuals aged 40 to 60.
- Initial symptoms arise from compression and destruction of CN VIII.
- Common symptoms include:
- Unilateral and progressive sensorineural hearing loss.
- Reduced touch sensation in the posterior ear canal.
- Unilateral tinnitus (ringing in the ear).
- Mild and intermittent vertigo.
Diagnosis
- Neurologic and audiometric tests are essential for diagnosis.
- MRI is the preferred imaging modality for confirming the presence of the tumor.
Treatment Options
- Radiation Therapy: Effective for small tumors; preserves hearing and vestibular function.
-
Surgical Treatment: Considered effective for all tumor sizes. Risks increase for larger tumors:
- Tumors >3 cm may result in permanent hearing loss and facial paralysis.
- Stereotactic Radiosurgery: A method to slow tumor growth and protect the facial nerve.
Post-Surgery Care
- Regular follow-up is necessary to monitor hearing and the potential for tumor recurrence.
- Patients should be educated to report any clear, colorless nasal discharge, as it may indicate cerebrospinal fluid (CSF) leak and heightened infection risk.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on acoustic neuromas, their symptoms, and the importance of early diagnosis. This quiz covers the vestibulocochlear nerve, associated symptoms, and potential complications from this benign tumor. Perfect for those studying neurology or interested in medical conditions related to hearing.
