A 34-year-old woman who presented with hearing loss and tinnitus was found to have reduced vision bilaterally. Computed tomography scan revealed bilateral acoustic neuromas and bilateral optic nerve sheath meningiomas. The presence of bilateral acoustic neuromas fulfils the criteria for the diagnosis of central neurofibromatosis (neurofibromatosis type 2). Although this is the first report of b...

Acoustic neuromas larger than 1 cm are usually apparent on routine computed tomography (CT) after contrast enhancement, but smaller lesions escape detection [1, 2]. Metrizamide CT cisternography can demonstrate small lesions, but it is not accurate for the detection of intracanalicular lesions [1, 3]. Pantopaque meatocisternography can detect intracanalicular lesions but has a high percentage o...

LINDSAY SYMON and BRIAN KENDALL (London) had used vertebral angiography for the past five years as a definitive investigation for providing details of the sites and probable natures of cerebellopontine angle lesions. Advantages of angiography were its performance under basal sedation with consequent diminution of the disturbance of intracranial dynamics consequent on anaesthesia, and its potent...

A sixty-one year old man was referred with a history of progressive dysphagia, vomiting and weight loss with some back pain. Upper gastrointestinal endoscopy and biopsies revealed a gastro-oesophageal junction adenocarcinoma. Despite the absence of metastatic disease on computed tomography, positron emission tomography demonstrated multiple vertebral and sternal deposits. He was reviewed in an ...

Computed tomography is effective for detecting acoustic neuromas, but not for resolving individual nerves in the internal auditory canal. Surface-coil magnetic resonance (MR) images of the internal auditory canal were obtained using a 1.5 T superconducting magnet, a 13.5-cm-diameter surface coil, 3- and 5-mm-thick slices, and partial-saturation pulse sequences. Cranial nerves VII and VIII (thre...