Role of Audiological Methods in Diagnostics of Lesions in the Pontocerebellar Angle
Authors:
E. Kadaňková 1,2; M. Lejska 1; Z. Kadaňka 2
Authors place of work:
AUDIO-Fon centr. s. r. o., Brno
1; Klinika neurologie, Fakultní nemocnice Brno Bohunice
2
Published in the journal:
Otorinolaryngol Foniatr, 67, 2018, No. 3, pp. 49-54.
Category:
Original Article
Summary
Diagnosis of diseases of the bridge-fronted area even during sophisticated imaging methods may not be easy. It is based, in particular, on the MR brain, which, however, due to a large number of patients, often with non-specific symptoms (hypacusis, vertigo, tinnitus, headache), cannot serve as the first-choice examination method. In addition, organic changes are not always more visible than functional changes that are always primary and precede the bearing finding Because the vast majority of patients come with symptoms of hearing impairment, we can rely on audiological examinations. The detailed otoneurological and audiological examination thus becomes an important method for the diagnosis of organic bearing lesions in the bridge-cerebellum angle. We present a set of 5499 patients examined from 2008 to 2017 in the otoneurological laboratory of AUDIO-Fon Brno. On the basis of a complete otoneurological examination, it was found that in 523 patients the disorder is not an otogenous disorder but has another source of difficulty - a suspected central lesion. According to the audiological methods, it was determined that 130 patients from the group were predisposed to occupational disability in the retrocochlear region. All of them were tested for MR in the area. In 21 cases, the lesion was confirmed. The thesis analyzes the clinical problems of these patients, the audiological finding and the time lag between audiological and imaging examinations. Audiological methods appear to be a reliable and affordable method in patients with non-specific symptoms, which may be a symptom of the involvement of the mosquito node.
Keywords:
audiology, audiologic methods, cerebellopontine angle, neurinomas
Zdroje
1. Betka, J., Zvěřona, E., Lisý, J., Chovanec, M., Kluh, J., Kraus, J.: Vestibulární schwannom. Otorinolaryng. a Foniat./Prague/, 57, 2008, 4, s. 221-225.
2. Bonneville, F., Sarrazin. J. L., Marsot-Dupuch, K. et al.: Unusual lesions of the cerebellopontine angle: A segmental approach. Radiographics, 21, 2001, 2, s. 419-438.
3. Caporlingua, F., Lapadla, G., Antonelli, M. et al.: Pleomorphic rhabdomyosarcoma of the cerebellopontine angle in an adult: a review of literature. BMJ Case Rep., 2014; bcr2013203257.Published online 2014 Jan 30. doi: 10.1136/bcr-2013-203257.
4. Cueva, R. A.: Auditory brainstem response versus magnetic resonance imaging for the evaluation of asymmetric sensorineural hearing loss. Laryngoskope, 114, 2004, 10, s. 1686-1692.
5. Čada, Z., Černý, R., Čakrt, O. a kol.: Závratě. Tobiáš, 2017, ISBN 978-80-7311-165-6.
6. Ganesan, P., Sankaran, P., Kothandaraman, P. P.: A rare case of hearing impairment due to cerebello-pontine angle lesion: Trigeminal schwannoma. J. Int. Adv. Otol., 11, 2015, 2, s.170-172. doi: 10.5152/iao.2015.252.
7. Gans, R. E.: Vestibular rehabilitation: Protocols and programs. Singular Publishing Group, Inc. San Diago, London, 1996.
8. Godey, B., Morandi, X., Bust, L. et al.: Senzitivity of auditory brainstem response in acoustic neurinoma screening. Acta Otolaryngol., 118, 1998, 4, s. 501-504.
9. Hahn, A.: Diagnostika a léčba závratí. Grada Publishing, a.s., 2004, s. 119.
10. Henneberg, R., Koch, M.: Ueber „centrale“ Neurofibromatose und die Geschwülste des kleinhirnbrückenwinkels (Acusticusneurome). Arch. F. Psychiatry, 36, 1902, s. 251-304.
11. Hause,W. F., Hitsenberger,W. E., Brachmann, D. E., Nelson, R. A.: Am. Otol. Rhinol. Laryngol., 99, 1990, 10, s. 789-790.
12. Holý, R., Praženica, P., Fundová, P., Kovář, D., Skutil, J., Hahn, A.: Ovlivnění funkce sluchové dráhy u pacientů s vestibulárním schwannomem léčených Leksellovým gama nožem. Cesk. Slov. Neurol. N, 77, 2014 (110), 2, s. 223-229.
13. Kalitová, P., Čakrt, O., Čada, Z., Profant, O., Chovanec, M., Betka, J., Jeřábek, J.: Význam vestibulárního a posturografického vyšetření u pacientů s vestibulárním schwannomem. Cesk. Slov. Neurol. N, 76, 2013 (109), 4, s. 469-474.
14. Lejska, M.: Komplexní řešení závrativých stavů funkčními metodami. Otorilaryngol. /Prague/, 47, 1998, 4, s. 212-221.
15. Lejska, M.: Audiologické rozlišení kochleární a retrokochleární nedoslýchavosti. Příručka pro praxi, Praha, 015.
16. McClelland, R. J., Watson, D. R., Lawless,V. et al.: Reliability and effectiveness of screening for hearing loss in high risk neonates. BMJ, 304, 1992 (6830), s. 806–809.
17. Montaguti, M., Bergonzoni, C., Zanetti, M. A. et al:. Comparative evaluation of ABR abnormalities in patient with and without neurinoma of VIII. cranial nerve. Acta Otolaryngol. Ital., 27, 2007, 2, s. 68-72.
18. Pedrialli, I., Kozlowski, L.: Auditory brainstem response on the detection of the acoustic neurinoma. International. Archives of Otorhinolaryngology, 9, 2005, 1, s. 303.
19. Prat, H., Aminoff, M. J., Numer, M. R. et al.: Potentiels évoqués auditifs de courte latence. In: Guérit J. M., Mauguière F., Plouin, P (eds). Guide pratique de neurophysiologie clinique. Recommandations de la Fédération international de neurophysiologie clinique. Paris, Elsevier, 2002, s. 95-110.
20. Ramly, N. A., Roslenda, A. R., Suraya, A. et al.: Vascular loop in the cerebellopontine angle causing pulsatile tinnitus and headache: A case report. EXCLI J., 13, 2014, 2, s. 192-196.
21. Rhoton, A. L. Jr.: The cerebellopontine angle and posterior fossa cranial nerves by the retrosigmoid approach. Neurosurgery, 47, 2000, 3, s. 93-129.
22. Selesnick, S. H., Jackler, R. K.: Clinical manifestations and audiologic diagnosis of acoustic neuromas. Otolaryngol. Clin .North Am., 25, 1992, 3, s. 521-551.
23. Singh, K., Singh, M. P., Thukral, K. T. et al.: Role of magnetic resonance imaging in evaluation of cerebellopontine angle schwannomas. Indian J. Otolaryngol. Head Neck Surg., 67, 2015, 1, s. 21-27. doi: 10.1007/s12070-014-0736-0.
24. Schmidt, R. J., Sataloff, R. T., Newman, J. et al.: The sensitivity of auditory brainstem response testing for the diagnosis of acoustic neuromas. Arch. Otolaryngol. Head Neck Surg., 12, 2001, 7, s.:19-22.
25. Zhang, M. J., Juan, T. M., Wang, L. Z.: Risk factors for hearing impairment induced by cytomegalovirus infection. Zhongguo Dang Dai Er Ke Za Zhi, 18, 2016, 3, s. 224-228.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2018 Číslo 3
Najčítanejšie v tomto čísle
- The Survey of Implants for Bone-Conducted Hearing and Active Middle Ear Implants
- Spontaneous Sublingual Haematoma as a Manifestation of an Acquired Haemophilia
- Silent Sinus Syndrome
- Role of Audiological Methods in Diagnostics of Lesions in the Pontocerebellar Angle