The prevalence of vestibular schwannoma among patients treated as sudden sensorineural hearing loss
The prevalence of vestibular schwannoma among patients treated as sudden sensorineural hearing loss
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DOI：
10.1016/j.anl.2018.06.008
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发表时间：
2019-02-01
影响因子：
1.7
通讯作者：
Doi, Katsumi
中科院分区：
文献类型：
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作者：
Fujita, Takeshi;Saito, Kazuya;Doi, Katsumi
目的：探讨突发性感音神经性听力损失（SSNHL）患者前庭神经鞘瘤（VS）的患病率。方法：回顾性分析2008年1月至2017年2月在我科某三级学术中心诊断或治疗SSHNL的861例患者。我们回顾性分析了499例接受MRI检查的患者的病历和MRI表现。结果：499例患者中有15例（3.0%）表现为同侧脑桥小脑角肿瘤。在一名患者中，在对侧耳偶然发现肿瘤。使用Koos听神经瘤分级系统对15例VS病变进行分级：I级（管内肿瘤），n = 8；II级（不超过2厘米），n = 6；III级（不超过3cm）， n = 1。没有发现Koos IV级肿瘤，即使躯干或脑神经移位的大肿瘤。结论：本研究SSNHL患者VS患病率为3.0%。考虑到这种高患病率，临床医生应该考虑在听力测量之外对SSNHL患者进行详细的检查。(C) 2018 Elsevier B.V.版权所有
Objective: To assess the prevalence of vestibular schwannoma (VS) in patients with sudden sensorineural hearing loss (SSNHL).Methods: This is a retrospective chart review of 861 patients who were diagnosed with or treated for SSHNL between January 2008 and February 2017 at our department in a tertiary academic center. We retrospectively analyzed the medical charts and MRI findings of 499 patients who had undergone MRI.Results: Fifteen (3.0%) of the 499 patients exhibited tumors at the cerebellopontine angle on the same side affected by SSNHL. In one patient, a tumor was incidentally detected in the contralateral ear. The 15 VS lesions were graded using the Koos acoustic neuroma grading system as follows: grade I (intracanalicular tumor), n = 8; grade II (up to 2 cm), n = 6; and grade III (up to 3 cm), n = 1. Koos grade IV tumors, which are large tumors that displace the trunk or cranial nerves, were not found.Conclusion: The prevalence of VS in patients with SSNHL was 3.0% in the present study. Considering this high prevalence, clinicians should consider detailed examinations in addition to audiometry for patients with SSNHL. (C) 2018 Elsevier B.V. All rights reserved.