Acoustic neuroma staging: Difference between revisions

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| style="padding 5px 5px; background: #F5F5F5; " |Persistent and severe dizziness or imbalance, disturbing daily life
| style="padding 5px 5px; background: #F5F5F5; " |Persistent and severe dizziness or imbalance, disturbing daily life
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{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align="center"
| valign="top" |
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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Stage}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Tumor location}}
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|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
{| style="border: 30px; font-size 190%; margin: 10px; width: 1600px; align="center"
:T1
! colspan="6" style="background: #5579FF; width: 600px:" | {{fontcolor|#FFF|Main grading systems for acoustic neuromas}}
| style="padding: 5px 5px; background: #F5F5F5;" |Clear intrameatal tumour (in the bony ear canal)
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
! style="background: #4479BA; | {{fontcolor|#FFF| Tumor size (CPA Maximum diameter)}}
:T2
! style="background: #4479BA; | {{fontcolor|#FFF| Sterker}}
| style="padding: 5px 5px; background: #F5F5F5;" |Intra and extrameatal tumour part (within and outside of the bony ear canal)
! style="background: #4479BA; | {{fontcolor|#FFF| House}}
! style="background: #4479BA; | {{fontcolor|#FFF| Koos}}
! style="background: #4479BA; | {{fontcolor|#FFF| Samii}}
! style="background: #4479BA; | {{fontcolor|#FFF| Tumor Description}}
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
! style="padding: 10px 10px; background: #ABCDEF; | 0
:T3a
(intracanalicular)
| style="padding: 5px 5px; background: #F5F5F5;" |Tumor fills the cerebellopontine cistern (between the cerebellum and brainstem)
! style="padding: 10px 10px; background: #ABCDEF; |Tube type
|-
! style="padding: 10px 10px; background: #ABCDEF; |intracanalicular
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
! style="padding: 10px 10px; background: #eee000; |Grade I
:T3b
! style="padding: 10px 10px; background: #ace123; |T1
| style="padding: 5px 5px; background: #F5F5F5;" |Tumor reaches the brainstem
! style="padding: 10px 10px; background: #ace123; |Confining to IAC
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:T4a
| style="padding: 5px 5px; background: #F5F5F5;" |Tumor compromises the brainstem
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:T4b
| style="padding: 5px 5px; background: #F5F5F5;" |Tumor compromises the brainstem and displaces the four ventricles (cerebral ventricle)
|-
|-
! style="padding: 10px 10px; background: #ABCDEF; | <10 mm
! style="padding: 10px 10px; background: #ABCDEF; | Small
! style="padding: 10px 10px; background: #ABCDEF; | Grade 1
! style="padding: 10px 10px; background: #eee000; | Grade II
! style="padding: 10px 10px; background: #ace123; | T2
! style="padding: 10px 10px; background: #ace123; | Superpassing IAC
|}
|}
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 21:54, 23 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

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CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Acoustic neuroma staging

All Images
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:

Tinnitus grading system for acoustic neuromas
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
Dizziness grading system for acoustic neuromas
Grade Description

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

|-

Main grading systems for acoustic neuromas
Tumor size (CPA Maximum diameter) Sterker House Koos Samii Tumor Description
0

(intracanalicular)

Tube type intracanalicular Grade I T1 Confining to IAC
<10 mm Small Grade 1 Grade II T2 Superpassing IAC

References

Template:WikiDoc Sources