Acoustic neuroma history and symptoms: Difference between revisions

Jump to navigation Jump to search
Line 8: Line 8:
[[Symptom|Symptoms]] and [[Medical sign|signs]] of [[Acoustic neuroma]] considerably dependent on the size of [[tumor]], for instance, generalized [[headache]] occurs 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 nerves|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>
[[Symptom|Symptoms]] and [[Medical sign|signs]] of [[Acoustic neuroma]] considerably dependent on the size of [[tumor]], for instance, generalized [[headache]] occurs 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 nerves|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: 700px;"
 
! colspan="4" style="background: #191970; " | {{fontcolor|#FFF|Table 1}}
|-
! 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|Sensitivity}}
! style="background: #191970; " | {{fontcolor|#FFF|Specificity}}
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Hyperacusis|Hypacusis]]
! style="padding: 4px 4px; background: #6495ED; " | The most common
! style="padding: 4px 4px; background: #6495ED; " | High
! style="padding: 4px 4px; background: #ADD8E6; " | low
|-
! style="padding: 4px 4px; background: #dcdcdc; " | Facial paresthesia
! rowspan="3" style="padding: 4px 4px; background: #6495ED; " | Commonly seen
! rowspan="3" style="padding: 4px 4px; background: #6495ED; " | Moderate
! rowspan="3" style="padding: 4px 4px; background: #87ceeb; " | Moderate
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Gait abnormality|Instability of gait]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Tinnitus]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Hearing impairment|Hearing loss]]
! rowspan="5" style="padding: 4px 4px; background: #87ceeb; " | Occasionally seen
! rowspan="5" style="padding: 5px 4px; background: #87ceeb; " | low
! rowspan="5" style="padding: 4px 4px; background: #6495ED; " | high
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Headache]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Facial nerve paralysis|Facial paralysis]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Vertigo]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | Absent corneal reflex
|-
! style="padding: 4px 4px; background: #dcdcdc; " | Bucking
! rowspan="10" style="padding: 4px 4px; background: #ADD8E6; " | Rarely seen
! rowspan="10" style="padding: 4px 4px; background: #ADD8E6; " | Very low
! rowspan="10" style="padding: 4px 4px; background: #6495ED; " | Very high
|-
! style="padding: 4px 4px; background: #dcdcdc; " | Visual disorder
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Nausea and vomiting]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Nystagmus]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Movement disorder]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | Mastication disorder
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Romberg's test|Romberg sign]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Dysphonia|Hoarseness]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Cranial nerves|Abduction disorder]]
|-
! style="padding: 4px 4px; background: #dcdcdc; " | [[Otalgia|Ear pain]]
|}


=== Cranial nerve ===
=== Cranial nerve ===

Revision as of 17:29, 7 January 2019

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 history and symptoms On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Acoustic neuroma history and symptoms

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 history and symptoms

CDC on Acoustic neuroma history and symptoms

Acoustic neuroma history and symptoms in the news

Blogs on Acoustic neuroma history and symptoms

Directions to Hospitals Treating Acoustic neuroma

Risk calculators and risk factors for Acoustic neuroma history and symptoms

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 headache occurs 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]


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.

Template:WikiDoc Sources