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Acoustic Neuroma Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • Surgery

Ongoing Care

  • Follow-Up Recommendations
  • Complications
The following is an excerpt....
BASICS

Description
  • Slow-growing benign tumor, most often arising from the vestibular division of 8th cranial nerve
  • Originates from Schwann cells of the nerve sheath (“schwannoma”)
  • Usually arises in the internal auditory canal near the cerebellopontine angle
  • Often has extracanalicular portion into the cerebellopontine angle, but may also stay purely intracanalicular
  • Most are unilateral; bilateral only seen in neurofibromatosis type II
Epidemiology
  • 6–10% of all intracranial tumors
  • 80–90% of cerebellopontine angle tumors
  • 95% of cases are unilateral.
  • Present most commonly in the 5th–6th decade
  • Female predominance
  • Bilateral acoustic neuroma occurring in neurofibromatosis II present before age 30
Incidence
  • 1/100,000 per year
  • Asymptomatic lesions may be more common.
Prevalence

3,000 diagnosed annually in the US ...

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See Also
Images >
12
FIGURE 114.9 Small intracanalicular acoustic neuroma observed on axial magnetic resonance imaging (arrow). The patient is a 42-year-old man who had reported progressive hearing loss in the right ear. Given his profound preoperative hearing loss, he had this lesion resected through a translabyrinthine approach without preservation of hearing function.Credit: Michael W. Mulholland, Ronald V. Maier etal. Greenfield's Surgery Scientific Principles And Practice, Fourth Edition. Philadelphia: Lippincott Williams & Wilkins, 2006.
Procedures & PT >
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