Otoneurological Approach to Diagnosis and Removal of Acoustic Neuroma

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Pitfalls in the diagnosis of acoustic neuroma.

The patient with an acoustic neuroma may present to the otologist with a variety of clinical features. Classically these include a retrocochlear pattern of sensorineural hearing loss, reduced vestibular response on caloric testing and radiological asymmetry of the internal auditory canals (IAC). The absence of any or all of these features, however, does not exclude the presence of tumour. Five ...

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Middle fossa approach for removal of acoustic neuroma: case reports and literature review

There are 3 approaches for the surgical treatment of acoustic neuroma namely: 1) translabyrinthine approach 2) retrosigmoid approach, and 3) middle fossa approach. The middle fossa approach was used for the removal of small or intracanalicular tumors, with or without serviceable hearing. The first case presented with severe right sensorineural hearing loss and facial palsy; the second with prog...

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Complications of the Middle Cranial Fossa Approach for Acoustic Neuroma Removal.

OBJECTIVE To analyze postoperative complications after microsurgery for acoustic neuroma (AN) via the middle fossa approach (MFA). MATERIALS AND METHODS In total, 203 consecutive patients of a tertiary skull base referral center at a university hospital were included in this retrospective chart and database analysis. All patients had undergone primary microsurgery at the Otorhinolaryngology d...

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Acoustic neuroma

IMAGING FINDINGS Magnetic resonance imaging (MRI) of the brain showed a 1.5to 1.8-cm solid and cystic mass that enhances on T1 with contrast at the right cerebellopontine angle and extends into the internal auditory canal, abutting the cerebellum medially (Figure 1). On the day of treatment a stereolocalization MRI showed a mass in the right cerebellopontine angle extending into the right inter...

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ژورنال

عنوان ژورنال: Neurologia medico-chirurgica

سال: 1979

ISSN: 0470-8105,1349-8029

DOI: 10.2176/nmc.19.617