Vestibular schwannoma (acoustic neuroma)

Question 1

which CNs are affected in acoustic neuroma

Answer 1

V
VII
VIII

Question 2

what is an acoustic neuroma

Answer 2

tumour that affects the vestibulococchlear nerve mainly

Question 3

apart from the vestibulococchlear nerve which other nerve might be affected in an acoustic neuroma

Answer 3

facial and trigeminal

Question 4

how would you know the vestibulococclear nerve is affected

Answer 4

unilateral sensory hearing loss

Question 5

what symptoms would be present if the trigeminal and facial nerve were affected

Answer 5

unilateral facial pain

unilateral facial weakness

Question 6

what 4 symptom are characteristic of acoustic neuritis

Answer 6

vertigo
hearing loss
tinnitus
absent corneal reflex

Question 7

damage to which facial nerve would cause absent corneal relfex

CN V
CN VII
CN VIII

Answer 7

CNV

Question 8

in what condition are bilateral acoustic neuromas seen in

Answer 8

neurofibromatosis type 2

Question 9

what should you do if you suspect acoustic neuroma in a patient

Answer 9

urgent referral to ENT

Question 10

what are the 3 management options in acoustic neuroma

Answer 10

surgery
radiotherapy
observations

Question 11

true/false

usually acoustic neuromas are benign and slow growing

Answer 11

true