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A vestibular schwannoma (VS), also called acoustic neuroma, is a benign tumor that develops on the vestibulocochlear nerve that passes from the inner ear to the brain. The tumor originates when Schwann cells that form the insulating myelin sheath on the nerve malfunction. Normally, Schwann cells function beneficially to protect the nerves which ...
The translabyrinthine approach was developed by William F. House, M.D., [2] who began doing dissections in the laboratory with the aid of magnification and subsequently developed the first middle cranial fossa and then the translabyrinthine approach for the removal of acoustic neuroma.
The most reliable indicator for acoustic neuromas from the ABR is the interaural latency differences in wave V: the latency in the impaired ear is prolonged. Different studies have indicated the sensitivity of ABR for detection of acoustic neuromas 1cm or larger to be between 90 and 95%. Sensitivity for neuromas smaller than 1cm are 63-77%.
There are several different surgical techniques for the removal of acoustic neuroma. [19] The choice of approach is determined by size of the tumour, hearing capability, and general clinical condition of the person. The retrosigmoid approach offers some opportunity for the retention of hearing.
Pleural schwannoma typically shows fatty degeneration, hemorrhage, perivascular hyalinization, and cystic formation thus giving heterogenous hyperintensities on T2 weighted images. Complete surgical removal of pleural schwannoma is the usual treatment. [11] Cellular schwannoma is a relatively rare variation. Cellular schwannoma is nearly ...
NF2 is a genetic disorder that is characterised by the development of non-cancerous tumours along the nervous system. These vestibular schwannomas (also known as acoustic neuromas) often form on the auditory nerve, and surgical removal of these NF2 tumours can damage the auditory nerve and limiting the patient's ability to hear. [6]
Acoustic neuroma - a slow-growing, benign tumor of the acoustic nerve. [2] Symptoms, which most often start after the age of 30, can include dizziness, headache, vertigo, loss of balance, ringing sensations, and numbness. [3] Ganglioneuroma - a tumor of the sympathetic nerve fibers arising from neural crest cells. [4]
Neurofibromatosis type II, in which bilateral acoustic neuromas (tumors of the vestibulocochlear nerve or cranial nerve 8 (CN VIII) also known as schwannoma) develop, often leading to hearing loss. [16] Schwannomatosis, in which painful schwannomas develop on spinal and peripheral nerves. [17]