Vestibular schwannoma Flashcards
What is another term for a vestibular schwannoma?
Acoustic neuroma
How can a vestibular schwannoma present?
Vertigo
Hearing loss
Tinnitus
Absent corneal reflex
What will be absent in someone with a vestibular schwannoma?
Absent corneal reflex
What nerves are typically affected in someone with a vestibular schwannoma?
8-main
5 and 7
What symptoms present when the 8th CN is affected?
Vertigo
Unilateral sensorineural hearing loss
Unilateral tinnitus
Are the symptoms in someone with an acoustic neuroma unilateral or bilateral?
Unilateral
What symptoms present when the 5th CN is affected?
Absent corneal reflex
What symptoms present when the 7th CN is affected?
Facial palsy
What is the term used for bilateral vestibular schwannomas?
Neurofibromatosis 2
Where in the brain does a vestibular schwannoma typically occur?
Cerebellopontine angle
What is the inital management of a patient presenting with a suspected vestibular schwannoma?
Refer urgently to ENT
What is the investigation of choice in someone presenting with a suspected vertibular schwannoma?
MRI of the cerebellopontine angle
How does a vestibular schwannoma typically present?
Slow growing and benign
Are vestibular schwannomas usually benign or malignant?
Benign
What would you find on histology of someone with vestibular schwannoma?
Antoni A or B patterns are seen
Verocay bodies
