Kompletní úprava sluchu u vestibulárního schwannomu s opakovanou náhlou ztrátou sluchu

English version

Authors: M. Sameš; P. Vachata
Authors‘ workplace: Department of Neurosurgery, J. E. Purkinje University, Masaryk Hospital, Usti nad Labem, Czech Republic
Published in: Cesk Slov Neurol N 2010; 73/106(3): 299-302
Category: Short Communication

Overview

Patofyziologická podstata a strategie léčby náhlé ztráty sluchu u pacientů s vestibulárním schwannomem není ještě zcela objasněna. Kompletní úprava a zachování sluchu jsou v těchto případech extrémně vzácné. Autoři prezentují případ s druhou atakou náhlé ztráty sluchu s tinitem a bez tendence ke spontánní úpravě. Akutní MR odhalilo intrakanalikulární vestibulární schwannom vlevo s 6mm extenzí do mostomozečkového úhlu. Sluch se upravil po podání kortikoidů. Měsíc po druhé atace byla provedena radikální resekce vestibulárního schwannomu se zachováním normálního sluchu. Na pravidelných ročních kontrolách je tři roky po výkonu sluch normální a MR bez rezidua nádoru. Tento případ podporuje fakt, že reverzibilní ataky náhlé ztráty sluchu u vestibulárního schwannomu nevylučují možnost kompletní úpravy a zachovaní sluchu.

Klíčová slova:
corticosteroids – sudden hearing loss – vestibular schwannoma

Sources

1. Meiteles LZ, Liu JK, Couldwell WT. Hearing restoration after resection of an intracanalicular vestibular schwannoma: a role for emergency surgery? Case report and review of the literature. J Neurosurg 2002; 96(4): 796– 800.

2. Chaimoff M, Nageris BI, Sulkes J, Spitzer T, Kalmanowitz M.Sudden hearing loss as a presenting symptom of acoustic neuroma. Am J Otolaryngol 1999; 20(3): 157– 160.

3. Chow JM, Garcia J. Acoustic neuroma presenting as sudden hearing loss. Am J Otolaryngol 1985; 6(2): 115– 119.

4. Nedzelski JM, Dufour JJ. Acoustic neurinomas presenting as sudden deafness. ORL J Otorhinolaryngol Relat Spec 1975; 37(5): 271– 279.

5. Hallberg OE. Sudden deafness of obscure origin. Laryngoscope 1956; 66(10): 1237– 1267.

6. Committee on Hearing and Equilibrium guidelines for the evaluation of hearing preservation in acoustic neuroma (vestibular schwannoma). American Academy of Otolaryngology‑ Head and Neck Surgery Foundation, INC. Otolaryngol Head Neck Surg 1995; 113(3): 179– 180.

7. Ogawa K, Kanzaki J, Ogawa S, Tsuchihashi N, Inoue Y.Acoustic neuromas presenting as sudden hearing loss. Acta Otolaryngol Suppl 1991; 487: 138– 143.

8. Saunders JE, Luxford WM, Devgan KK, Fetterman BL. Sudden hearing loss in acoustic neuroma patients. Otolaryngol Head Neck Surg 1995; 113(1): 23– 31.

9. Friedman RA, Kesser BW, Slattery WH, 3rd, Brackmann DE, Hitselberger WE. Hearing preservation in patients with vestibular schwannomas with sudden sensorineural hearing loss. Otolaryngol Head Neck Surg 2001; 125(5): 544– 551.

10. Fayad JN, Don M, Linthicum FH jr. Distribution of low‑ frequency nerve fibers in the auditory nerve: Temporal bone findings and clinical implications. Otol Neurotol 2006; 27(8): 1074– 1077.

11. Aslan A, De Donato G, Balyan FR, Falcioni M, Russo A,Taibah A et al. Clinical observations on coexistence of sudden hearing loss and vestibular schwannoma. Otolaryngol Head Neck Surg 1997; 117(6): 580– 582.

12. Berg HM, Cohen NL, Hammerschlag PE, Waltzman SB. Acoustic neuroma presenting as sudden hearing loss with recovery. Otolaryngol Head Neck Surg 1986; 94(1): 15– 22.

13. Pensak ML, Glasscock ME 3rd, Josey AF, Jackson CG, Gulya AJ. Sudden hearing loss and cerebellopontine angle tumors. Laryngoscope 1985; 95(10): 1188– 1193.

14. Selesnick SH, Jackler RK. Clinical manifestations and audiologic diagnosis of acoustic neuromas. Otolaryngol Clin North Am 1992; 25(3): 521– 551.

15. Yanagihara N, Asai M. Sudden hearing loss induced by acoustic neuroma: significance of small tumors. Laryngoscope 1993; 103(3): 308– 311.

16. Higgs WA. Sudden deafness as the presenting symptom of acoustic neurinoma. Arch Otolaryngol 1973; 98(2): 73– 76.

17. Lapsiwala SB, Pyle GM, Kaemmerle AW, Sasse FJ, Badie B. Correlation between auditory function and internal auditory canal pressure in patients with vestibular schwannomas. J Neurosurg 2002; 96(5): 872– 876.

18. Stidham KR, Roberson JB jr. Hearing improvement after middle fossa resection of vestibular schwannoma. Otol Neurotol 2001; 22(6): 917– 921.

19. Nageris BI, Popovtzer A. Acoustic neuroma in patients with completely resolved sudden hearing loss. Ann Otol Rhinol Laryngol 2003; 112(5): 395– 397.

20. Berenholz LP, Eriksen C, Hirsh FA. Recovery from repeated sudden hearing loss with corticosteroid use in the presence of an acoustic neuroma. Ann Otol Rhinol Laryngol 1992; 101(10): 827– 831.

21. Popovtzer A, Nageris BI, Bahar G. Resolved sudden hearing loss as a presenting symptom of retrocochlear lesion. J Basic Clin Physiol Pharmacol 2001; 12 (2 Suppl): 101– 107.

22. Suzuki M, Sakai T, Hirakawa K, Oya T, Yajin K, Harada Y et al. Acoustic neuroma presenting with sudden and fluctuating hearing loss – a case report. Auris Nasus Larynx 1987; 14(3): 165– 170.

23. Hultcrantz E. Clinical treatment of vascular inner ear diseases. Am J Otolaryngol 1988; 9(6): 317– 322.

24. Aronzon A, Ruckenstein MJ, Bigelow DC. The efficacy of corticosteroids in restoring hearing in patients undergoing conservative management of acoustic neuromas. Otol Neurotol 2003; 24(3): 465– 468.

25. Mineta H, Nozue M, Ito H, Nozawa O, Nanba T. Acoustic tumor with hearing loss of sudden onset and recovery. Auris Nasus Larynx 1986; 13 (Suppl 2): S123– S129.

26. Inoue Y, Ogawa K, Kanzaki J. Hearing improvement after tumor removal in a vestibular schwannoma patient with severe hearing loss. Eur Arch Otorhinolaryngol 2003; 260(9): 487– 489.

27. Shelton C, House WF. Hearing improvement after acoustic tumor removal. Otolaryngol Head Neck Surg 1990; 103(6): 963– 965.

28. Yanagihara N, Murakami S, Asai M, Hatakeyama T,Zenke K. Hearing improvement following removal of acoustic neuroma with preoperative sudden deafness. Ear Nose Throat J 1994; 73(12): 886, 890– 884.

29. Cohen NL, Ransohoff J, Jacobs J. Restoration of speech discrimination following suboccipital, transmeatal excision of extracanalicular acoustic neuroma. Otolaryngol Head Neck Surg 1985; 93(1): 126– 131.

30. Fischer G, Costantini JL, Mercier P. Improvement of hearing after microsurgical removal of acoustic neurinoma. Neurosurgery 1980; 7(2): 154– 159.

31. Gadre AK, Kwartler JA, Brackmann DE, House WF, Hitselberger WE. Middle fossa decompression of the internal auditory canal in acoustic neuroma surgery: a therapeutic alternative. Laryngoscope 1990; 100(9): 948– 952.

32. Colletti V, Fiorino FG, Carner M, Tonoli G. Mechanisms of auditory impairment during acoustic neuroma surgery. Otolaryngol Head Neck Surg 1997; 117(6): 596– 605.

33. Kawaguchi T, Tanaka R, Kameyama S, Yamazaki H.Full recovery from deafness after removal of a large acoustic neurinoma associated with neurofibromatosis 2: case report. Surg Neurol 1994; 42(4): 326– 329.

34. Weber PC, Gantz BJ. Results and complications from acoustic neuroma excision via middle cranial fossa approach. Am J Otol 1996; 17(4): 669– 675.

35. Telian SA, Kemink JL, Kileny P. Hearing recovery following suboccipital excision of acoustic neuroma. Arch Otolaryngol Head Neck Surg 1988; 114(1): 85– 87.

36. Ferber‑ Viart C, Laoust L, Boulud B, Duclaux R, Dubreuil C. Acuteness of preoperative factors to predict hearing preservation in acoustic neuroma surgery. Laryngoscope 2000; 110(1): 145– 150.

37. Roberson JB, Jr., Jackson LE, McAuley JR. Acoustic neuroma surgery: absent auditory brainstem response does not contraindicate attempted hearing preservation. Laryngoscope 1999; 109(6): 904– 910.

38. Rohit, Piccirillo E, Jain Y, Augurio A, Sanna M. Preoperative predictive factors for hearing preservation in vestibular schwannoma surgery. Ann Otol Rhinol Laryngol 2006; 115(1): 41– 46.

39. Brackmann DE, Owens RM, Friedman RA, Hitselberger WE, De la Cruz A, House JW et al. Prognostic factors for hearing preservation in vestibular schwannoma surgery. Am J Otol 2000; 21(3): 417– 424.