The changing clinical presentation of acoustic tumors in the MRI era

The Laryngoscope
S H SelesnickL W Pitts

Abstract

The application of magnetic resonance imaging (MRI) scanning in the diagnosis of acoustic neuroma (AN) has increased the relative incidence of smaller tumors and has impacted on the typical clinical presentation of AN patients. The charts of 126 patients treated at the University of California, San Francisco for newly diagnosed AN from 1986 to 1990 were reviewed. Twenty-four percent of tumors fell into the smallest size category (< 1 cm); this was a substantial improvement over earlier series. However, 16% of tumors remained undiagnosed until they achieved large size (> 3 cm). The incidence of hearing loss, dysequilibrium, headache, facial numbness, and diplopia all increased with increasing tumor size, while the incidence of vertigo decreased. Diagnosticians should not overemphasize "typical" symptom complexes, as substantial variability in clinical manifestations exists. An improved awareness by clinicians of the variability of AN presentation will improve diagnostic efficiency and continue the trend toward earlier diagnosis of these lesions.

References

Dec 1, 1978·The Laryngoscope·G D MathewP C O'Brien
Mar 1, 1977·Archives of Otolaryngology·E W Johnson
Sep 1, 1990·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·D B WellingC G Jackson
Jan 1, 1989·The Journal of Laryngology and Otology·D A MoffatD M Baguley
Jan 1, 1985·Archives of Oto-rhino-laryngology·C Zöllner, S Bockenheimer
Oct 1, 1981·Neurosurgery·S G Harner, E R Laws
Sep 1, 1957·British Journal of Urology·E LJUNGGREN
Apr 1, 1965·The Laryngoscope·L S ERICKSONM H MCGAVRAN
Jan 1, 1951·Brain : a Journal of Neurology·C H EDWARDS, J H PATERSON

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Citations

Dec 1, 1996·Journal of the Neurological Sciences·S BerrettiniR Padolecchia
Jan 7, 1998·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·A AslanM Sanna
Jan 4, 2001·Auris, Nasus, Larynx·E Kentala, I Pyykkö
Oct 31, 2001·Auris, Nasus, Larynx·T SakamotoY Inuyama
Jan 1, 1997·European Journal of Radiology·D SouliéG Cosnard
Dec 15, 2006·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Luis LassalettaJavier Gavilán
Aug 2, 2006·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Marc DiensthuberTimo Stöver
Sep 3, 1998·The New England Journal of Medicine·J R Hotson, R W Baloh
Sep 18, 1997·The Laryngoscope·N B BikhaziD E Brackmann
Feb 1, 1995·The Laryngoscope·J L DornhofferD H Hoehmann
Jul 1, 1995·The Laryngoscope·J P van LeeuwenE Meijer
Jan 9, 2001·Journal of Neurosurgery·R SpiegelmannR Pfeffer
Jun 21, 2001·Journal of Neurosurgery·S L Nutik, M J Babb
Mar 29, 2014·American Journal of Otolaryngology·Alex D SweeneyGeorge B Wanna
Apr 15, 2014·Acta otorrinolaringológica española·Vicente Escorihuela-GarcíaJaime Marco-Algarra
Jan 1, 1995·Acta neurochirurgica·M Samii, C Matthies
Feb 1, 1995·Clinical Otolaryngology and Allied Sciences·D A MoffatD M Baguley
Nov 20, 2002·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Tsung-Wei Huang, Yi-Ho Young
Apr 7, 2007·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Tara MackleRory McConn Walsh
Aug 26, 2009·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Laurel M FisherWilliam H Slattery
Nov 30, 2010·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·David J PhillipsSamuel H Selesnick
Apr 10, 2012·Otolaryngologic Clinics of North America·Emily Z StuckenSamuel H Selesnick
Mar 21, 2007·Acta otorrinolaringológica española·Enrique Coscarón BlancoJuan Carlos Paniagua Escudero
Dec 18, 2009·American Journal of Otolaryngology·Jonathan R NewtonBhasker Ram
Jan 6, 2007·International Journal of Pediatric Otorhinolaryngology·Dimitrios G BalatsourasStavros G Korres
May 18, 2000·Otolaryngologic Clinics of North America·M J Ruckenstein
Oct 24, 2002·Otolaryngologic Clinics of North America·Steven Y Ho, John F Kveton
Jan 13, 2015·Acta Oto-laryngologica·Sung Ho LeeSeung Geun Yeo
Aug 1, 1994·The Journal of the American Dental Association·D M Feinerman, M H Goldberg
Jan 25, 2005·Journal of Neurosurgery·Wen-Yuh ChungDavid Hung-Chi Pan
Dec 1, 2006·Journal of Applied Oral Science : Revista FOB·Maurício A BisiMárcio L Grossi
Sep 14, 2007·Acta Oto-laryngologica·Anita JeyakumarPaul Dutcher
Nov 26, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Matthew P Branch, Barry E Hirsch
Oct 29, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Mark R Murphy, Samuel H Selesnick
May 4, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·T D AndersonN Mirza
Jul 18, 2000·Acta Oto-laryngologica. Supplementum·T SugimotoA Komatsuzaki
Sep 18, 2004·Clinical Otolaryngology and Allied Sciences·D A MoffatD M Baguley
Oct 1, 2005·Acta Oto-laryngologica·José María GuilemanyManuel Bernal-Sprekelsen

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