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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%.
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.
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]
Acoustic trauma can occur from a single, loud noise exposure or loud noise over a period of time. One sign of acoustic trauma is ringing in the ears and muffled hearing after a loud sound exposure.
The misnomer of acoustic neuroma is still often used. The vestibular schwannomas grow slowly at the inner entrance of the internal auditory meatus (meatus acousticus internus). They derive from the nerve sheaths of the upper part of the nervus vestibularis in the region between the central and peripheral myelin (Obersteiner-Redlich-Zone) within ...
Acoustic neuroma (vestibular schwannoma) – benign neoplasm of Schwann cells affecting the vestibulocochlear nerve; Meningioma – benign tumour of the pia and arachnoid mater; Ménière's disease – causes sensorineural hearing loss in the low frequency range (125 Hz to 1000 Hz).
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