Acoustic Neuroma/Vestibular Schwannoma Flashcards
1
Q
What type of tumour is an acoustic neuroma/vestibular schwannoma?
A
Histologically benign subarachnoid tumour, behaves like a space-occupying lesion.
2
Q
What is this a presentation of?
Progressive unilateral tinnitus, sensorineural deafness,
A
Acoustic neuroma/vestibular schwannoma
3
Q
What can large acoustic neuromas/vestibular schwannomas cause?
A
- Ipsilateral cerebellar signs
- Raised ICP signs
- CN V compression - numb face/absent corneal reflex
- CN VII compression - facial palsy
4
Q
How is an acoustic neuroma/vestibular schwannoma investigated?
A
MRI of cerebellopontine angle
5
Q
What is the management for an acoustic neuroma/vestibular schwannoma?
A
- Not needed in elderly
2. Stereotactic radiosurgery