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.

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2
Q

What is this a presentation of?

Progressive unilateral tinnitus, sensorineural deafness,

A

Acoustic neuroma/vestibular schwannoma

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3
Q

What can large acoustic neuromas/vestibular schwannomas cause?

A
  1. Ipsilateral cerebellar signs
  2. Raised ICP signs
  3. CN V compression - numb face/absent corneal reflex
  4. CN VII compression - facial palsy
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4
Q

How is an acoustic neuroma/vestibular schwannoma investigated?

A

MRI of cerebellopontine angle

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5
Q

What is the management for an acoustic neuroma/vestibular schwannoma?

A
  1. Not needed in elderly

2. Stereotactic radiosurgery

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