acoustic neuroma Flashcards
what is an acoustic neuroma
benign tumours of the schwann cells surrounding the auditory nerve that innervates the inner ear
where do acoustic neuromas occur
cerebellopontine angle
what does bilateral acoustic neuroma indicate
neurofibromatosis type II
presentation of acoustic neuroma
unilateral sensorineural hearing loss
unilateral tinnitus
dizziness or imbalance
fullness in the ear
facial nerve palsy
investigations for acoustic neuroma
audiometry (sensorineural hearing loss)
MRI or CT
management of acoustic neuroma
ENT specialist
surgery
radiotherapy
what cranial nerves are affected
VIII: vestibulocochlear (vertigo, unilateral sensorineural hearing loss, tinnitus)
V trigeminal: absent corneal reflex
VII facial: facial palsy