Acoustic neuroma history and symptoms: Difference between revisions

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Symptoms and signs of Acoustic neuroma considerably dependent on the size of tumor for instance, generalized headacheoccures in less than 20% of patients with small acoustic tumors (less than 2cm), although it can occur in 43 to 75% of patients with tumor over 4cm in diameter.<ref>{{Cite journal|last=Robert G. Hart, M.D. and John Davenport, M.D|first=|date=1981|title=Diagnosis of Acoustic Neuroma|url=|journal=Neurosurgery|volume=4|pages=450|via=}}</ref> In table 1 and table 2 there are information about the frequency of major symptoms and signs and cranial nerve disturbances respectively. <ref>{{Cite journal|last=XIANG HUANG, JIAN XU, MING XU, LIANG-FU ZHOU, RONG ZHANG, LIQIN LANG, QIWU XU, PING ZHONG, MINGYU CHEN, YING WANG and ZHENYU ZHANG|first=|date=2012|title=Clinical features of intracranial vestibular schwannomas|url=|journal=ONCOLOGY LETTERS|volume=|pages=|via=}}</ref>
Symptoms and signs of Acoustic neuroma considerably dependent on the size of tumor for instance, generalized headacheoccures in less than 20% of patients with small acoustic tumors (less than 2cm), although it can occur in 43 to 75% of patients with tumor over 4cm in diameter.<ref>{{Cite journal|last=Robert G. Hart, M.D. and John Davenport, M.D|first=|date=1981|title=Diagnosis of Acoustic Neuroma|url=|journal=Neurosurgery|volume=4|pages=450|via=}}</ref> In table 1 and table 2 there are information about the frequency of major symptoms and signs and cranial nerve disturbances respectively. <ref>{{Cite journal|last=XIANG HUANG, JIAN XU, MING XU, LIANG-FU ZHOU, RONG ZHANG, LIQIN LANG, QIWU XU, PING ZHONG, MINGYU CHEN, YING WANG and ZHENYU ZHANG|first=|date=2012|title=Clinical features of intracranial vestibular schwannomas|url=|journal=ONCOLOGY LETTERS|volume=|pages=|via=}}</ref>


{| style="border: 3px; font-size 60%; margin: 1px; width: 600px;"
{| style="border: 3px; font-size 60%; margin: 1px; width: 700px;"
! colspan="4" style="background: #191970; " | {{fontcolor|#FFF|Symptoms and signs in Order of frequency (Table 1)}}
! colspan="4" style="background: #191970; " | {{fontcolor|#FFF|Table 1}}
|-
|-
! style="background: #191970; " | {{fontcolor|#FFF|Symptoms and signs}}
! colspan="2" style="background: #191970; " | {{fontcolor|#FFF|Major signs and symptoms}}
! colspan="2" style="background: #191970; width: 250px;" | {{fontcolor|#FFF|Diagnostic accuracy of clinical features in predicting the tumor progress}}
|-
! style="background: #191970; " | {{fontcolor|#FFF|Signs and symptoms}}
! style="background: #191970; " | {{fontcolor|#FFF|Frequency}}
! style="background: #191970; " | {{fontcolor|#FFF|Frequency}}
! style="background: #191970; " | {{fontcolor|#FFF|Sensitivity}}
! style="background: #191970; " | {{fontcolor|#FFF|Sensitivity}}
! style="background: #191970; " | {{fontcolor|#FFF|Specificity}}
! style="background: #191970; " | {{fontcolor|#FFF|Specificity}}
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Hypacusis
! style="padding: 4px 4px; background: #dcdcdc; " | Hypacusis
! style="padding: 5px 5px; background: #6495ED; " | The most common
! style="padding: 4px 4px; background: #6495ED; " | The most common
! style="padding: 5px 5px; background: #6495ED; " | High
! style="padding: 4px 4px; background: #6495ED; " | High
! style="padding: 4px 4px; background: #ADD8E6; " | low
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Facial paresthesia
! style="padding: 4px 4px; background: #dcdcdc; " | Facial paresthesia
! rowspan="3" style="padding: 5px 5px; background: #6495ED; " | Commonly seen
! rowspan="3" style="padding: 4px 4px; background: #6495ED; " | Commonly seen
! rowspan="3" style="padding: 5px 5px; background: #6495ED; " | Moderate
! rowspan="3" style="padding: 4px 4px; background: #6495ED; " | Moderate
! rowspan="3" style="padding: 4px 4px; background: #87ceeb; " | Moderate
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Instability of gait
! style="padding: 4px 4px; background: #dcdcdc; " | Instability of gait
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Tinnitus
! style="padding: 4px 4px; background: #dcdcdc; " | Tinnitus
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Hearing loss
! style="padding: 4px 4px; background: #dcdcdc; " | Hearing loss
! rowspan="5" style="padding: 5px 5px; background: #87ceeb; " | Occasionally seen
! rowspan="5" style="padding: 4px 4px; background: #87ceeb; " | Occasionally seen
! rowspan="5" style="padding: 5px 5px; background: #87ceeb; " | low
! rowspan="5" style="padding: 5px 4px; background: #87ceeb; " | low
! rowspan="5" style="padding: 4px 4px; background: #6495ED; " | high
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Headache
! style="padding: 4px 4px; background: #dcdcdc; " | Headache
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Facial paralysis
! style="padding: 4px 4px; background: #dcdcdc; " | Facial paralysis
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Vertigo
! style="padding: 4px 4px; background: #dcdcdc; " | Vertigo
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Absent corneal reflex
! style="padding: 4px 4px; background: #dcdcdc; " | Absent corneal reflex
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Bucking
! style="padding: 4px 4px; background: #dcdcdc; " | Bucking
! rowspan="10" style="padding: 5px 5px; background: #ADD8E6; " | Rarely seen
! rowspan="10" style="padding: 4px 4px; background: #ADD8E6; " | Rarely seen
! rowspan="10" style="padding: 5px 5px; background: #ADD8E6; " | Very low
! rowspan="10" style="padding: 4px 4px; background: #ADD8E6; " | Very low
! rowspan="10" style="padding: 4px 4px; background: #6495ED; " | Very high
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Visual disorder
! style="padding: 4px 4px; background: #dcdcdc; " | Visual disorder
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Nausea and vomiting
! style="padding: 4px 4px; background: #dcdcdc; " | Nausea and vomiting
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Nystagmus
! style="padding: 4px 4px; background: #dcdcdc; " | Nystagmus
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Movement disorder
! style="padding: 4px 4px; background: #dcdcdc; " | Movement disorder
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Mastication disorder
! style="padding: 4px 4px; background: #dcdcdc; " | Mastication disorder
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Romberg sign
! style="padding: 4px 4px; background: #dcdcdc; " | Romberg sign
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Hoarseness
! style="padding: 4px 4px; background: #dcdcdc; " | Hoarseness
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Abduction disorder
! style="padding: 4px 4px; background: #dcdcdc; " | Abduction disorder
|-
|-
! style="padding: 5px 5px; background: #dcdcdc; " | Ear pain
! style="padding: 4px 4px; background: #dcdcdc; " | Ear pain
|}
|}



Revision as of 18:21, 28 May 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

Symptoms of acoustic neuroma include hearing loss, tinnitus, vertigo, headaches, facial weakness, facial numbness and tingling, dizziness, taste changes, difficulty swallowing and hoarseness and, confusion.[1]

Symptoms

Symptoms and signs of Acoustic neuroma considerably dependent on the size of tumor for instance, generalized headacheoccures in less than 20% of patients with small acoustic tumors (less than 2cm), although it can occur in 43 to 75% of patients with tumor over 4cm in diameter.[2] In table 1 and table 2 there are information about the frequency of major symptoms and signs and cranial nerve disturbances respectively. [3]

Table 1
Major signs and symptoms Diagnostic accuracy of clinical features in predicting the tumor progress
Signs and symptoms Frequency Sensitivity Specificity
Hypacusis The most common High low
Facial paresthesia Commonly seen Moderate Moderate
Instability of gait
Tinnitus
Hearing loss Occasionally seen low high
Headache
Facial paralysis
Vertigo
Absent corneal reflex
Bucking Rarely seen Very low Very high
Visual disorder
Nausea and vomiting
Nystagmus
Movement disorder
Mastication disorder
Romberg sign
Hoarseness
Abduction disorder
Ear pain

Symptoms of acoustic neuroma include:[1][4]

References

  1. 1.0 1.1 Vestibular Schwannoma. Wikipedia(2015) https://en.wikipedia.org/wiki/Vestibular_schwannoma Accessed on October 2 2015
  2. Robert G. Hart, M.D. and John Davenport, M.D (1981). "Diagnosis of Acoustic Neuroma". Neurosurgery. 4: 450.
  3. XIANG HUANG, JIAN XU, MING XU, LIANG-FU ZHOU, RONG ZHANG, LIQIN LANG, QIWU XU, PING ZHONG, MINGYU CHEN, YING WANG and ZHENYU ZHANG (2012). "Clinical features of intracranial vestibular schwannomas". ONCOLOGY LETTERS.
  4. [https ://medlineplus.gov/acousticneuroma.html "MedlinePlus Acoustic neuroma"] Check |url= value (help).

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