ACOUSTIC NEUROMA REVEALED BY VERTIGO: A CASE REPORT

Authors

  • Mohamed Ali GLITI Resident physician in otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco.
  • Omar Laasikri Resident physician in otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco.
  • Sophia Nitassi Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco.
  • Bencheikh Razika Professor of otorhinolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco.
  • Benbouzid Mohamed Anas Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
  • Leila Essakalli Houssyni Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.

DOI:

https://doi.org/10.53555/eijmhs.v6i2.135

Keywords:

Acoustic Neuroma, Vertigo, Postural Balance, Posturography

Abstract

Objectif: Describe the different unusual clinical presentation of the acoustic neuroma.

Material and method:  We report the case of a 51-year-old man who presented with a acoustic neurinoma revealed by vertigo. 

Clinical case: Mr. Z.M presented presented progressively the instalation of an intense rotational non-positional vertigo, without concept of tinnitusthe, the evolution may show a deafness of transmission, discordant with the attack cochlear retrehearing .The vestibular test results showed a left vestibular deficit with a right preponderance. And the MRI finally objectified an Acoustic Neuroma (NA).

Conclusion: The unforeseen development of the NA should make evoke in certain forms of rotary vertigo, even without obvious otological signs, a hypothesis of retro cochlear involvement, in locurance an acoustic neuroma. Vestibular tests can be a means of evaluating the evolution of the size of these tumors.

 

References

. Kentala E, Pyykko I. Clinical picture of vestibular schwannoma. Au- ris Nasus Larynx. 2001 Jan;28(1):15-22.

. Andersen JF, Nilsen KS,Vassbotn FS, Moller P, Myrseth E, Lund-Jo- hansen M, et al. Predictors of vertigo in patients with untreated ves- tibular schwannoma. Otol Neurotol. 2015Apr;36(4):647-52.

. Hoffmann CP, Seigle B, Frere J, Parietti-Winkler C. Dynamical anal- ysis of balance in vestibular schwannoma patients. Gait Posture. 2017 May;54:236-41.

. DayAS,Wang CT, Chen CN,YoungYH. Correlating the cochleoves- tibular deficits with tumor size of acoustic neuroma.Acta Otolaryn- gol. 2008 Jul;128(7):756-60.

. Gouveris H,Akkafa S, Lippold R, MannW. Influence of nerve of ori- gin and tumor size of vestibular schwannoma on dynamic posturog- raphy findings.Acta Otolaryngol. 2006 Dec;126(12):1281-5.

. Gouveris H, Helling K,VictorA, MannW. Comparison of electronys- tagmography results with dynamic posturography findings in patients with vestibular schwannoma. Acta Otolaryngol. 2007 Aug;127(8): 839-42.

. Morrison GA, Sterkers JM. Unusual presentations of acoustic tumours. Clin Otolaryngol Allied Sci. 1996 Feb;21(1):80-3.

. Breivik CN, Nilsen RM, Myrseth E, Finnkirk MK, Lund-Johansen M. Working disability in Norwegian patients with vestibular schwanno- ma: vertigo predicts future dependence. World Neurosurg. 2013 Dec;80(6):e301-5.

. Dayal M, Perez-Andujar A, Chuang C, Parsa AT, Barani IJ. Manage- ment of vestibular schwannoma: focus on vertigo. CNS Oncol. 2013 Jan;2(1):99-104.

. Tranter-Entwistle I, Dawes P, Darlington CL, Smith PF, Cutfield N. Video head impulse in comparison to caloric testing in unilateral ves- tibular schwannoma.Acta Otolaryngol. 2016 Nov;136(11):1110-4.

. Batuecas-Caletrio A, Santa Cruz-Ruiz S, Munoz-Herrera A, Perez- Fernandez N. The map of dizziness in vestibular schwannoma. La- ryngoscope. 2015 Dec;125(12):2784-9.

. Bergenius J, Magnusson M. The relationship between caloric re- sponse, oculomotor dysfunction and size of cerebello-pontine angle tumours.Acta Otolaryngol. 1988 NovDec;106(5-6):361-7.

. Stipkovits EM, Van Dijk JE, Graamans K. Electronystagmographic changes in patients with unilateral vestibular schwannomas in rela- tion to tumor progression and central compensation. Eur Arch Oto- rhinolaryngol. 1999Apr;256(4):173-6.

. Kim HJ, Park SH, Kim JS, Koo JW, Kim CY, Kim YH, et al. Bilaterally abnormal head impulse tests indicate a large cerebellopontine angle tumor. J Clin Neurol. 2016 Jan;12(1):6574 .

. Monsell EM, Furman JM, Herdman SJ, Konrad HR, Shepard NT. Computerized dynamic platform posturography. Otolaryngol Head Neck Surg. 1997 Oct;117(4):394-8.

. Gouveris H, Stripf T, Victor A, Mann W. Dynamic posturography findings predict balance status in vestibular schwannoma patients. Otol Neurotol. 2007Apr;28(3):372-5.

. Ribeyre L, Frere J, Gauchard G, Lion A, Perrin P, Spitz E, et al. Preoperative balance control compensation in patients with a vestibular schwannoma: does tumor size matter? Clin Neurophysiol. 2015 Apr;126(4):787-93.

. 18.Koos WT, Spetzler RF, Bock FW. Microsurgery of cerebellopontine angle tumors. In: Koos WT, Bock FW, Spetzler RF, Ammerman B, editors. Clinical microneurosurgery. Stuttgart: Georg Thieme; 1976. p. 91-112.

. Neurocom International Inc. EquiTest system operator’s manual ver- sion 8.2. Clackamas: Neurocom International Inc.; 2004.

. Dilwali S, Landegger LD, Soares VY, Deschler DG, Stankovic KM. Secreted factors from human vestibular schwannomas can cause co- chlear damage. Sci Rep. 2015 Dec;5:18599.

. Yin M, Ishikawa K, Omi E, SaitoT, ItasakaY,Angunsuri N. Small ves- tibular schwannomas can cause gait instability. Gait Posture. 2011 May;34(1):25-8.

. Myrseth E, Moller P,Wentzel-LarsenT, Goplen F, Lund-Johansen M. Untreated vestibular schwannomas: vertigo is a powerful predictor for health-related quality of life. Neurosurgery. 2006 Jul;59(1):67- 76.

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Published

2020-06-27