Acoustic neuroma history and symptoms: Difference between revisions

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=== Cranial nerve ===
=== Cranial nerve ===
Cranial nerve disturbances was related to the cochlear nerve and trigeminal nerve. The facial nerve disturbances occurs in more sever cases.
Cranial nerve disturbances was related to the cochlear nerve and trigeminal nerve. The facial nerve disturbances occurs in more sever cases.
{| style="border: 3px; font-size 100%; margin: 1px; width: 300px; align="left" "
! colspan="3" style="background: #5579ff; " | {{fontcolor |#FFF| Table 2}}
|-
! style="background: #6495ed; " | {{fontcolor |#FFF| Nerve}}
! style="background: #6495ed; " | {{fontcolor |#FFF| Symptop\sign}}
! style="background: #6495ed; " | {{fontcolor |#FFF| Frequency}}
|-
! style="padding: 5px 5px; background: #dcdcdc; " | V
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Trigeminal nerve disturbance
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Commonly seen
|-
! style="padding: 5px 5px; background: #dcdcdc; " | VI
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Abduction disorder
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | rarely seen
|-
! style="padding: 5px 5px; background: #dcdcdc; " | VII
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Facial nerve disturbance
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Occasionally seen
|-
! style="padding: 5px 5px; background: #dcdcdc; " | VIII
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Hearing deficits
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Mostly seen
|-
! style="padding: 5px 5px; background: #dcdcdc; " | VIII
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Vestibular disturbance
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Occasionally seen
|-
! style="padding: 5px 5px; background: #dcdcdc; " | IX-XII
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Caudal cranial nerve deficits
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Seldom seen
|}


==References==
==References==

Revision as of 19:22, 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][2]

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.[3] In table 1 and table 2 there are information about the frequency of major symptoms and signs and cranial nerve disturbances respectively. [4]

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

Cranial nerve

Cranial nerve disturbances was related to the cochlear nerve and trigeminal nerve. The facial nerve disturbances occurs in more sever cases.

Table 2
Nerve Symptop\sign Frequency
V Trigeminal nerve disturbance Commonly seen
VI Abduction disorder rarely seen
VII Facial nerve disturbance Occasionally seen
VIII Hearing deficits Mostly seen
VIII Vestibular disturbance Occasionally seen
IX-XII Caudal cranial nerve deficits Seldom seen

References

  1. Vestibular Schwannoma. Wikipedia(2015) https://en.wikipedia.org/wiki/Vestibular_schwannoma Accessed on October 2 2015
  2. [https ://medlineplus.gov/acousticneuroma.html "MedlinePlus Acoustic neuroma"] Check |url= value (help).
  3. Robert G. Hart, M.D. and John Davenport, M.D (1981). "Diagnosis of Acoustic Neuroma". Neurosurgery. 4: 450.
  4. 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.

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