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
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
危险因素
- 神经纤维瘤病相关神经鞘瘤病
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
需考虑的检查
- 听觉脑干反应
治疗流程
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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