acoustic neuroma Flashcards

1
Q

what is an acoustic neuroma

A

benign tumours of the schwann cells surrounding the auditory nerve that innervates the inner ear

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2
Q

where do acoustic neuromas occur

A

cerebellopontine angle

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3
Q

what does bilateral acoustic neuroma indicate

A

neurofibromatosis type II

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4
Q

presentation of acoustic neuroma

A

unilateral sensorineural hearing loss
unilateral tinnitus
dizziness or imbalance
fullness in the ear
facial nerve palsy

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5
Q

investigations for acoustic neuroma

A

audiometry (sensorineural hearing loss)
MRI or CT

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6
Q

management of acoustic neuroma

A

ENT specialist
surgery
radiotherapy

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7
Q

what cranial nerves are affected

A

VIII: vestibulocochlear (vertigo, unilateral sensorineural hearing loss, tinnitus)
V trigeminal: absent corneal reflex
VII facial: facial palsy

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