Vestibular schwannoma and endolymphatic hydrops скачать в хорошем качестве

Vestibular schwannoma and endolymphatic hydrops

Int Tinnitus J. 2017 Dec 1;21(2):128-132. doi: 10.5935/0946-5448.20170024. Vestibular Schwannoma and Ipsilateral Endolymphatic Hydrops: An Unusual Association. Ralli M1, Greco A2, Altissimi G3, Turchetta R2, Longo L2, D'Aguanno V2, Tombolini M2, Cianfrone G2, Vincentiis M2. Author information 1 Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy. 2 Department of Sense Organs, Sapienza University of Rome, Italy. 3 2Department of Sense Organs, Sapienza University of Rome, Italy. Abstract Vestibular schwannoma and endolymphatic hydrops are two conditions that may present with similar audio-vestibular symptoms. The association of the two in the same patient represents an unusual finding that may lead clinicians to errors and delays in diagnosis and clinical management of affected subjects. We discuss the case of a patient with an intrameatal vestibular schwannoma reporting symptoms suggestive for ipsilateral endolymphatic hydrops. The patient presented with fluctuating hearing loss, tinnitus, and acute rotatory vertigo episodes, and underwent a full audiological evaluation and imaging of the brain with contrast-enhanced Magnetic Resonance Imaging. Clinical audio-vestibular and radiological examination confirmed the presence of coexisting vestibular schwannoma and endolymphatic hydrops. Hydrops was treated pharmacologically; vestibular schwannoma was monitored over time with a wait and scan protocol through conventional MRI. The association of vestibular schwannoma and endolymphatic hydrops is rare, but represents a possible finding in clinical practice. It is therefore recommended investigating the presence of inner ear disorders in patients with vestibular schwannoma and, similarly, to exclude the presence of this condition in patients with symptoms typical of inner ear disorders. KEYWORDS: endolymphatic hydrops; hearing loss; tinnitus; vestibular schwannoma PMID: 29336131 - video upload powered by https://www.TunesToTube.com