Acoustic neuroma history and symptoms: Difference between revisions
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Symptoms and signs of Acoustic neuroma considerably dependent on the size of tumor for instance, generalized headacheoccures in less than 20% of patients with small acoustic tumors (less than 2cm), although it can occur in 43 to 75% of patients with tumor over 4cm in diameter.<ref>{{Cite journal|last=Robert G. Hart, M.D. and John Davenport, M.D|first=|date=1981|title=Diagnosis of Acoustic Neuroma|url=|journal=Neurosurgery|volume=4|pages=450|via=}}</ref> In table 1 and table 2 there are information about the frequency of major symptoms and signs and cranial nerve disturbances respectively. <ref>{{Cite journal|last=XIANG HUANG, JIAN XU, MING XU, LIANG-FU ZHOU, RONG ZHANG, LIQIN LANG, QIWU XU, PING ZHONG, MINGYU CHEN, YING WANG and ZHENYU ZHANG|first=|date=2012|title=Clinical features of intracranial vestibular schwannomas|url=|journal=ONCOLOGY LETTERS|volume=|pages=|via=}}</ref> | Symptoms and signs of Acoustic neuroma considerably dependent on the size of tumor for instance, generalized headacheoccures in less than 20% of patients with small acoustic tumors (less than 2cm), although it can occur in 43 to 75% of patients with tumor over 4cm in diameter.<ref>{{Cite journal|last=Robert G. Hart, M.D. and John Davenport, M.D|first=|date=1981|title=Diagnosis of Acoustic Neuroma|url=|journal=Neurosurgery|volume=4|pages=450|via=}}</ref> In table 1 and table 2 there are information about the frequency of major symptoms and signs and cranial nerve disturbances respectively. <ref>{{Cite journal|last=XIANG HUANG, JIAN XU, MING XU, LIANG-FU ZHOU, RONG ZHANG, LIQIN LANG, QIWU XU, PING ZHONG, MINGYU CHEN, YING WANG and ZHENYU ZHANG|first=|date=2012|title=Clinical features of intracranial vestibular schwannomas|url=|journal=ONCOLOGY LETTERS|volume=|pages=|via=}}</ref> | ||
{| style="border: 3px; font-size 60%; margin: 1px; width: | {| style="border: 3px; font-size 60%; margin: 1px; width: 600px;" | ||
! colspan=" | ! colspan="4" style="background: #191970; " | {{fontcolor|#FFF|Symptoms and signs in Order of frequency (Table 1)}} | ||
|- | |- | ||
! style=" | ! style="background: #191970; " | {{fontcolor|#FFF|Symptoms and signs}} | ||
! style="background: #191970; " | {{fontcolor|#FFF|Frequency}} | |||
! style="background: #191970; " | {{fontcolor|#FFF|Sensitivity}} | |||
! style="background: #191970; " | {{fontcolor|#FFF|Specificity}} | |||
|- | |- | ||
! | ! style="padding: 5px 5px; background: #dcdcdc; " | Hypacusis | ||
! style="padding: 5px 5px; background: #6495ED; " | The most common | |||
! style="padding: 5px 5px; background: #6495ED; " | High | |||
|- | |- | ||
| style="padding: | ! style="padding: 5px 5px; background: #dcdcdc; " | Facial paresthesia | ||
! rowspan="3" style="padding: 5px 5px; background: #6495ED; " | Commonly seen | |||
! rowspan="3" style="padding: 5px 5px; background: #6495ED; " | Moderate | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Instability of gait | |||
|- | |- | ||
! | ! style="padding: 5px 5px; background: #dcdcdc; " | Tinnitus | ||
|- | |- | ||
| style="padding: | ! style="padding: 5px 5px; background: #dcdcdc; " | Hearing loss | ||
! rowspan="5" style="padding: 5px 5px; background: #87ceeb; " | Occasionally seen | |||
! rowspan="5" style="padding: 5px 5px; background: #87ceeb; " | low | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Headache | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Facial paralysis | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Vertigo | |||
|- | |- | ||
! | ! style="padding: 5px 5px; background: #dcdcdc; " | Absent corneal reflex | ||
|- | |- | ||
| style="padding: | ! style="padding: 5px 5px; background: #dcdcdc; " | Bucking | ||
! rowspan="10" style="padding: 5px 5px; background: #ADD8E6; " | Rarely seen | |||
! rowspan="10" style="padding: 5px 5px; background: #ADD8E6; " | Very low | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Visual disorder | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Nausea and vomiting | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Nystagmus | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Movement disorder | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Mastication disorder | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Romberg sign | |||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | Hoarseness | |||
|- | |- | ||
| style="padding: | ! style="padding: 5px 5px; background: #dcdcdc; " | Abduction disorder | ||
|- | |||
! style="padding: 5px 5px; background: #dcdcdc; " | Ear pain | |||
|} | |} | ||
Revision as of 18:04, 28 May 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Symptoms of acoustic neuroma include hearing loss, tinnitus, vertigo, headaches, facial weakness, facial numbness and tingling, dizziness, taste changes, difficulty swallowing and hoarseness and, confusion.[1]
Symptoms
Symptoms and signs of Acoustic neuroma considerably dependent on the size of tumor for instance, generalized headacheoccures in less than 20% of patients with small acoustic tumors (less than 2cm), although it can occur in 43 to 75% of patients with tumor over 4cm in diameter.[2] In table 1 and table 2 there are information about the frequency of major symptoms and signs and cranial nerve disturbances respectively. [3]
Symptoms and signs in Order of frequency (Table 1) | |||
---|---|---|---|
Symptoms and signs | Frequency | Sensitivity | Specificity |
Hypacusis | The most common | High | |
Facial paresthesia | Commonly seen | Moderate | |
Instability of gait | |||
Tinnitus | |||
Hearing loss | Occasionally seen | low | |
Headache | |||
Facial paralysis | |||
Vertigo | |||
Absent corneal reflex | |||
Bucking | Rarely seen | Very low | |
Visual disorder | |||
Nausea and vomiting | |||
Nystagmus | |||
Movement disorder | |||
Mastication disorder | |||
Romberg sign | |||
Hoarseness | |||
Abduction disorder | |||
Ear pain |
Symptoms of acoustic neuroma include:[1][4]
- Sensorineural hearing loss - often occur gradually and most of times unilateral
- Vertigo
- Tinnitus
- Facial weakness
- Facial numbness and tingling
- Headaches
- Dizziness
- Difficulty swallowing and hoarseness
- Taste changes
- Confusion
References
- ↑ 1.0 1.1 Vestibular Schwannoma. Wikipedia(2015) https://en.wikipedia.org/wiki/Vestibular_schwannoma Accessed on October 2 2015
- ↑ Robert G. Hart, M.D. and John Davenport, M.D (1981). "Diagnosis of Acoustic Neuroma". Neurosurgery. 4: 450.
- ↑ XIANG HUANG, JIAN XU, MING XU, LIANG-FU ZHOU, RONG ZHANG, LIQIN LANG, QIWU XU, PING ZHONG, MINGYU CHEN, YING WANG and ZHENYU ZHANG (2012). "Clinical features of intracranial vestibular schwannomas". ONCOLOGY LETTERS.
- ↑ [https ://medlineplus.gov/acousticneuroma.html "MedlinePlus Acoustic neuroma"] Check
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