Acoustic neuroma physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sabawoon Mirwais, M.B.B.S, M.D.[2]Simrat Sarai, M.D. [3]
Overview
Patients with acoustic neuroma usually appear normal. Physical examination of patients with acoustic neuroma is usually remarkable for Sensorineural hearing loss in the affected ear, positive Rinne test, abnormal Weber test, Papilledema, Nystagmus, Diplopia on lateral gaze, decreased or absent ipsilateral corneal reflex, facial twitching or hypesthesia, Drooling, drooping on one side of the face, loss of taste , and ataxia.
Physical Examination
Appearance of the Patient
- Patients with acoustic neuroma usually appear normal.
Vital Signs
- Vital signs of patients with acoustic neuroma are usually within normal limits.
Skin
- Skin examination of patients with acoustic neuroma is usually normal.
HEENT
- Sensorineural hearing loss in the affected ear[1][2][3]
- Positive Rinne test
- Weber test lateralizes to normal ear
- Papilledema
- Diplopia on lateral gaze
Neck
- Neck examination of patients with acoustic neuroma is usually normal.
Lungs
- Pulmonary examination of patients with acoustic neuroma is usually normal.
Heart
- Cardiovascular examination of patients with acoustic neuroma is usually normal.
Abdomen
- Abdominal examination of patients with acoustic neuroma is usually normal.
Back
- Back examination of patients with acoustic neuroma is usually normal.
Genitourinary
- Genitourinary examination of patients with acoustic neuroma is usually normal.
Neuromuscular
- Cranial nerve V- Decreased or absent ipsilateral corneal reflex.
- Cranial nerve VII- Facial twitching or hypesthesia, Drooling, drooping on one side of the face, and loss of taste
- Cranial nerve VIII- Positive Rinne test and abnormal Weber test
- Cranial nerve IX- Loss of taste in the posterior half of tongue
- Cerebellum- Ataxia
Extremities
- Extremities examination of patients with acoustic neuroma is usually normal.
References
- ↑ Robert W. Foley, Shahram Shirazi, Robert M. Maweni, Kay Walsh, Rory McConn Walsh, Mohsen Javadpour & Daniel Rawluk (2017). "Signs and Symptoms of Acoustic Neuroma at Initial Presentation: An Exploratory Analysis". Cureus. 9 (11): e1846. doi:10.7759/cureus.1846. PMID 29348989. Unknown parameter
|month=ignored (help) - ↑ Xiang Huang, Jian Xu, Ming Xu, Liang-Fu Zhou, Rong Zhang, Liqin Lang, Qiwu Xu, Ping Zhong, Mingyu Chen, Ying Wang & Zhenyu Zhang (2013). "Clinical features of intracranial vestibular schwannomas". Oncology letters. 5 (1): 57–62. doi:10.3892/ol.2012.1011. PMID 23255894. Unknown parameter
|month=ignored (help) - ↑ C. Matthies & M. Samii (1997). "Management of 1000 vestibular schwannomas (acoustic neuromas): clinical presentation". Neurosurgery. 40 (1): 1–9. PMID 8971818. Unknown parameter
|month=ignored (help)