Vestibular Schwannoma (Acoustic Neuroma) Flashcards
1
Q
what is the classical history for acoustic neuroma?
A
- vertigo
- hearing loss
- tinnitus
- absent corneal reflex
2
Q
what cranial nerves can be affected in acoustic neuroma?
A
- vestibulocochlear VIII
- trigeminal V
- facial VII
3
Q
what features are seen in acoustic neuroma if it affects cranial nerve VIII?
A
- vertigo
- unilateral sensorineural hearing loss
- unilateral tinnitus
4
Q
what features are seen in acoustic neuroma if it affects cranial nerve V?
A
absent corneal reflex
5
Q
what features are seen in acoustic neuroma if it affects cranial nerve VII?
A
facial palsy
6
Q
what type of acoustic neuroma is seen in neurofibromatosis type 2?
A
bilateral vestibular schwannomas
7
Q
what is the investigation of choise in acoustic neuroma?
A
MRI of the cerebellopontine angle
8
Q
what is the management of acoustic neuroma?
A
- surgery
- radiotherapy
- observation
