Vestibular schwannoma/ acoustic neuroma Flashcards
1
Q
What?
A
Slow- growing benign schwannoma of vestibular nerve
2
Q
Who?
A
30- 60
NF2
3
Q
Clinical features?
A
Progressive sensorineural hearing loss
Hearing loss usually unilateral
Tinnitus
Vertigo
4
Q
Clinical features of large acoustic neuroma?
A
Persistent headaches
Temporary blurred or double vision
Numbeness, pain, weakness of 1 side of face
Problems with limb coordination on 1 side of body
5
Q
Investigations?
A
MRI
6
Q
Who to investigate?
A
Investigate anyone with asymmetric sensorineural hearing loss
or sudden sensorineural hearing loss
7
Q
Management?
A
Monitoring (small tumours)
Surgical removal (if large or getting bigger)
Stereotactic radio surgery (small tumours or pieces of larger tumour remaining after surgery)
