Acoustic neuroma staging: Difference between revisions

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*'''WIGAND''' has defined a trinomial classification:
*'''WIGAND''' has defined a trinomial classification:
'''SAMII''' defines six tumour classes:
'''SAMII''' defines six tumour classes:
 
{| Style="border: 3px; font-size; 190%; margin: 1px; width: 600px" align="center"
{| class="wikitable"
| valign="top" |
|+
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!Grade 
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Grade}}
!Tinnitus grading system for acoustic neuromas 
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Description}}
|-
|-
|I
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align="center"|
|No tinnitus
I
| style="padding: 10px 10px; background: #F5F5F5; | No tinnitus
|-
|-
|II
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align="center"|
|Intermittent or mild tinnitus, can only be heard when the ambient noise is low
II
| style="padding: 10px 10px; background: #F5F5F5; | Intermittent or mild tinnitus, can only be heard when the ambient noise is low
|-
|-
|III
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align="center"|
|Persistent or moderate tinnitus, can be heard every day
III
| style="padding: 10px 10px; background: #F5F5F5; | Persistent or moderate tinnitus, can be heard every day
|-
|-
|IV
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align="center" |
|Persistent and severe tinnitus, interfere with work and sleep 
IV
|}
| style="padding: 10px 10px; background: #F5F5F5; | Persistent and severe tinnitus, interfere with work and sleep
{| class="wikitable"
! colspan="2" |Dizziness grading system for acoustic neuromas. 
|-
|Grade
|Descriptions 
|-
|I
|No dizziness or imbalance
|-
|II
|Occasional and mild dizziness or imbalance 
|-
|III
|Persistent or moderate vertigo or imbalance 
|-
|-
|IV
|Persistent and severe dizziness or imbalance, disturbing daily life 
|}
|}
{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align="center"
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Revision as of 19:52, 22 May 2018

Acoustic neuroma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Acoustic neuroma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography or Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Acoustic neuroma staging On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Acoustic neuroma staging

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X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Acoustic neuroma staging

CDC on Acoustic neuroma staging

Acoustic neuroma staging in the news

Blogs on Acoustic neuroma staging

Directions to Hospitals Treating Acoustic neuroma

Risk calculators and risk factors for Acoustic neuroma staging

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Acoustic neuroma may be classified into three subtypes based on tumor size and into six subtypes based on tumor location.

Staging

Acoustic neuroma may be classified into three subtypes based on tumor size and into six subtypes based on tumor location.

  • WIGAND has defined a trinomial classification:

SAMII defines six tumour classes:

Grade Description

I

No tinnitus

II

Intermittent or mild tinnitus, can only be heard when the ambient noise is low

III

Persistent or moderate tinnitus, can be heard every day

IV

Persistent and severe tinnitus, interfere with work and sleep
Stage Tumor location
T1
Clear intrameatal tumour (in the bony ear canal)
T2
Intra and extrameatal tumour part (within and outside of the bony ear canal)
T3a
Tumor fills the cerebellopontine cistern (between the cerebellum and brainstem)
T3b
Tumor reaches the brainstem
T4a
Tumor compromises the brainstem
T4b
Tumor compromises the brainstem and displaces the four ventricles (cerebral ventricle)

References

Template:WikiDoc Sources