Acoustic neuroma history and symptoms: Difference between revisions
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==Symptoms== | ==Symptoms== | ||
Symptoms and signs of Acoustic neuroma considerably dependent on the size of tumor for instance, generalized | [[Symptom|Symptoms]] and [[Medical sign|signs]] of [[Acoustic neuroma]] considerably dependent on the size of [[tumor]], for instance, generalized [[headache]] occurs 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 nerves|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: 700px;" | {| style="border: 3px; font-size 60%; margin: 1px; width: 700px;" | ||
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! style="background: #191970; " | {{fontcolor|#FFF|Specificity}} | ! style="background: #191970; " | {{fontcolor|#FFF|Specificity}} | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Hypacusis | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Hyperacusis|Hypacusis]] | ||
! style="padding: 4px 4px; background: #6495ED; " | The most common | ! style="padding: 4px 4px; background: #6495ED; " | The most common | ||
! style="padding: 4px 4px; background: #6495ED; " | High | ! style="padding: 4px 4px; background: #6495ED; " | High | ||
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! rowspan="3" style="padding: 4px 4px; background: #87ceeb; " | Moderate | ! rowspan="3" style="padding: 4px 4px; background: #87ceeb; " | Moderate | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Instability of gait | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Gait abnormality|Instability of gait]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Tinnitus | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Tinnitus]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Hearing loss | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Hearing impairment|Hearing loss]] | ||
! rowspan="5" style="padding: 4px 4px; background: #87ceeb; " | Occasionally seen | ! rowspan="5" style="padding: 4px 4px; background: #87ceeb; " | Occasionally seen | ||
! rowspan="5" style="padding: 5px 4px; background: #87ceeb; " | low | ! rowspan="5" style="padding: 5px 4px; background: #87ceeb; " | low | ||
! rowspan="5" style="padding: 4px 4px; background: #6495ED; " | high | ! rowspan="5" style="padding: 4px 4px; background: #6495ED; " | high | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Headache | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Headache]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Facial paralysis | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Facial nerve paralysis|Facial paralysis]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Vertigo | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Vertigo]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Absent corneal reflex | ! style="padding: 4px 4px; background: #dcdcdc; " | Absent corneal reflex | ||
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! style="padding: 4px 4px; background: #dcdcdc; " | Visual disorder | ! style="padding: 4px 4px; background: #dcdcdc; " | Visual disorder | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Nausea and vomiting | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Nausea and vomiting]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Nystagmus | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Nystagmus]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Movement disorder | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Movement disorder]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Mastication disorder | ! style="padding: 4px 4px; background: #dcdcdc; " | Mastication disorder | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Romberg sign | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Romberg's test|Romberg sign]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Hoarseness | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Dysphonia|Hoarseness]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Abduction disorder | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Cranial nerves|Abduction disorder]] | ||
|- | |- | ||
! style="padding: 4px 4px; background: #dcdcdc; " | Ear pain | ! style="padding: 4px 4px; background: #dcdcdc; " | [[Otalgia|Ear pain]] | ||
|} | |} | ||
=== Cranial nerve === | === Cranial nerve === | ||
Cranial nerve disturbances was related to the | [[Cranial nerves|Cranial nerve]] disturbances was related to the [[Cochlear nerve|Cochlear]] nerve and [[Trigeminal nerve|Trigeminal]] nerve. The [[Facial nerve]] disturbances occurs in more sever cases. | ||
{| style="border: 3px; font-size 100%; margin: 1px; width: 300px; align=" left " | {| style="border: 3px; font-size 100%; margin: 1px; width: 300px; align=" left " | ||
! colspan="3" style="background: #5579ff; " | {{fontcolor |#FFF| Table 2}} | ! colspan="3" style="background: #5579ff; " | {{fontcolor |#FFF| Table 2}} | ||
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|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | V | ! style="padding: 5px 5px; background: #dcdcdc; " | V | ||
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Trigeminal nerve disturbance | | style="padding: 5px 5px; background: #f8f8ff; " align="center" | [[Trigeminal nerve|Trigeminal]] nerve disturbance | ||
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Commonly seen | | style="padding: 5px 5px; background: #f8f8ff; " align="center" | Commonly seen | ||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | VI | ! style="padding: 5px 5px; background: #dcdcdc; " | VI | ||
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Abduction disorder | | style="padding: 5px 5px; background: #f8f8ff; " align="center" | [[Abducens nerve|Abduction]] disorder | ||
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | rarely seen | | style="padding: 5px 5px; background: #f8f8ff; " align="center" | rarely seen | ||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | VII | ! style="padding: 5px 5px; background: #dcdcdc; " | VII | ||
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Facial nerve disturbance | | style="padding: 5px 5px; background: #f8f8ff; " align="center" | [[Facial nerve]] disturbance | ||
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Occasionally seen | | style="padding: 5px 5px; background: #f8f8ff; " align="center" | Occasionally seen | ||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | VIII | ! style="padding: 5px 5px; background: #dcdcdc; " | VIII | ||
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Hearing deficits | | style="padding: 5px 5px; background: #f8f8ff; " align="center" | [[Hearing impairment|Hearing deficits]] | ||
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Mostly seen | | style="padding: 5px 5px; background: #f8f8ff; " align="center" | Mostly seen | ||
|- | |- | ||
! style="padding: 5px 5px; background: #dcdcdc; " | VIII | ! style="padding: 5px 5px; background: #dcdcdc; " | VIII | ||
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Vestibular disturbance | | style="padding: 5px 5px; background: #f8f8ff; " align="center" | [[Vestibular balance disorder|Vestibular]] disturbance | ||
| style="padding: 5px 5px; background: #f8f8ff; " align="center" | Occasionally seen | | style="padding: 5px 5px; background: #f8f8ff; " align="center" | Occasionally seen | ||
|- | |- | ||
Revision as of 16:02, 9 June 2018
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Acoustic neuroma Microchapters | |
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Acoustic neuroma history and symptoms On the Web | |
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American Roentgen Ray Society Images of Acoustic neuroma history and symptoms | |
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Risk calculators and risk factors for Acoustic neuroma history and symptoms | |
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][2]
Symptoms
Symptoms and signs of Acoustic neuroma considerably dependent on the size of tumor, for instance, generalized headache occurs 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.[3] In table 1 and table 2 there are information about the frequency of major symptoms and signs and cranial nerve disturbances respectively. [4]
| Table 1 | |||
|---|---|---|---|
| Major signs and symptoms | Diagnostic accuracy of clinical features in predicting the tumor progress | ||
| Signs and symptoms | Frequency | Sensitivity | Specificity |
| Hypacusis | The most common | High | low |
| Facial paresthesia | Commonly seen | Moderate | Moderate |
| Instability of gait | |||
| Tinnitus | |||
| Hearing loss | Occasionally seen | low | high |
| Headache | |||
| Facial paralysis | |||
| Vertigo | |||
| Absent corneal reflex | |||
| Bucking | Rarely seen | Very low | Very high |
| Visual disorder | |||
| Nausea and vomiting | |||
| Nystagmus | |||
| Movement disorder | |||
| Mastication disorder | |||
| Romberg sign | |||
| Hoarseness | |||
| Abduction disorder | |||
| Ear pain | |||
Cranial nerve
Cranial nerve disturbances was related to the Cochlear nerve and Trigeminal nerve. The Facial nerve disturbances occurs in more sever cases.
| Table 2 | ||
|---|---|---|
| Nerve | Symptop\sign | Frequency |
| V | Trigeminal nerve disturbance | Commonly seen |
| VI | Abduction disorder | rarely seen |
| VII | Facial nerve disturbance | Occasionally seen |
| VIII | Hearing deficits | Mostly seen |
| VIII | Vestibular disturbance | Occasionally seen |
| IX-XII | Caudal cranial nerve deficits | Seldom seen |
References
- ↑ Vestibular Schwannoma. Wikipedia(2015) https://en.wikipedia.org/wiki/Vestibular_schwannoma Accessed on October 2 2015
- ↑ [https ://medlineplus.gov/acousticneuroma.html "MedlinePlus Acoustic neuroma"] Check
|url=value (help). - ↑ 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.