Acoustic Neuroma

drvmehta | Mar 03, 2010 | Comments 9 | Filed Under Acoustic Neuroma • ENT

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What investigations are required for Acoustic Neuroms?

An AUDIOLOGIC ASSESSMENT helps determine the level of HEARING LOSS and whether it affects one or both ears. Hearing loss in both ears suggests causes other than acoustic neuroma; it is very rare that a person would have two tumors, one affecting each vestibulocochlear nerve.

MAGNETIC RESONANCE IMAGING (MRI) can usually determine the presence of an acoustic neuroma. Contrast-enhanced CT will detect almost all acoustic neuromas that are greater than 2.0 cm in diameter and project further than 1.5 cm into the cerebellopontine angle. Those tumors that are smaller may be detected by MRI with gadolinium enhancement. Audiology and vestibular tests should be concurrently evaluated using air conduction and bone conduction threshold testing to assess for sensorineural versus conduction hearing loss.

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