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前庭神经鞘瘤

最后审阅: 1 Nov 2024
最后更新: 15 Sep 2023

小结

定义

病史和体格检查

关键诊断因素

  • 非对称听力损失
  • 渐进式眩晕发作
  • 耳鸣
完整详情

其他诊断因素

  • 声音定位困难
  • 头痛
  • 面部麻木
  • 面部无力
  • 侧向凝视复视
  • 眼球震颤
  • 失去平衡和协调困难
  • 眨眼变慢
  • 吞咽困难
  • 步态障碍
  • 脑积水
  • 视神经乳头水肿
  • 颅内压升高
完整详情

危险因素

  • 神经纤维瘤病相关神经鞘瘤病
完整详情

诊断性检查

首要检查

  • 听力敏度图
  • 钆增强 T1 加权 MRI
  • 增强头部 CT
完整详情

需考虑的检查

  • 听觉脑干反应
完整详情

治疗流程

持续性治疗

小肿瘤(Koos 1-2 级)

中等肿瘤(Koos 3-4 级,肿瘤<3 cm)

大肿瘤(Koos 4 级,肿瘤>3 cm)

撰稿人

作者

Michael J. Link, MD

Professor

Departments of Neurologic Surgery and Otorhinolaryngology

Mayo Clinic

Rochester

MN

利益声明

MJL is an author of a reference cited in this topic.

Matthew L. Carlson, MD

Professor

Departments of Neurologic Surgery and Otorhinolaryngology

Mayo Clinic

Rochester

MN

利益声明

MLC is an author of a reference cited in this topic.

鸣谢

Dr Michael J. Link and Dr Matthew L. Carlson would like to gratefully acknowledge Dr Ryojo Akagami, the previous contributor to this topic.

利益声明

RA has been reimbursed for instructing at a dissection course by Stryker and gives yearly lectures at a Canadian resident review course. RA was an expert panellist at a session on vestibular schwannomas at the 2019 NASBS meeting.

同行评议者

Rick Friedman, MD, PhD

Professor of Otolaryngology and Neurosurgery

UC San Diego

La Jolla

CA

利益声明

RF declares that he has no competing interests.

Iain Swan, MD, FRCS

Senior Lecturer in Otolaryngology

Honorary Consultant Otolaryngologist

Glasgow Royal Infirmary

Glasgow

UK

利益声明

IS declares that he has no competing interests.

Patrice Tran Ba Huy, MD

Department of Otorhinolaryngology-Head and Neck Surgery

AP-HP

Hopital Lariboisiere

Service ORL

Universite Paris 7

Paris and Laboratoire des Réseaux Sensorimoteurs

Paris

France

利益声明

PTBH declares that he has no competing interests.

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