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Q: Conventional radiological investigation of acoustic neuroma ( Answered,   1 Comment )
Question  
Subject: Conventional radiological investigation of acoustic neuroma
Category: Health > Medicine
Asked by: musa333-ga
List Price: $4.00
Posted: 17 Apr 2004 08:35 PDT
Expires: 17 May 2004 08:35 PDT
Question ID: 331714
What is acoustic neurma, and what are the basic conventional
radiological projections to show it?
Answer  
Subject: Re: Conventional radiological investigation of acoustic neuroma
Answered By: hummer-ga on 17 Apr 2004 11:28 PDT
 
Hi musa333,

I'm certain you mean "Acoustic neuroma", a benign tumor associated with the ear.

Mayo Clinic:
What is an acoustic tumor?	
"An acoustic neuroma is a noncancerous (benign) tumor of the acoustic
nerve, which carries sound from the inner ear to the brain. The exact
cause usually isn't known. But acoustic neuromas are often associated
with neurofibromatosis 2, an inherited disorder characterized by
tumors of the cranial and spinal nerves. Acoustic neuromas are one of
the most common types of brain tumors.
Acoustic tumors grow very slowly. As they grow, they push against the
brain but they don't spread into the brain. Signs and symptoms may
include:
    * Hearing loss in one ear
    * Ringing (tinnitus) in the affected ear
    * Dizziness
    * Loss of balance
A doctor may confirm a diagnosis by:
    * Magnetic resonance imaging (MRI) of the head
    * Computerized tomography (CT) scan of the head
Treatment may include:
    * Surgical removal of the tumor
    * Gamma knife radiosurgery to slow or stop the growth of the tumor"
CLICK ON LINK TO VIEW IMAGE
http://www.mayoclinic.com/invoke.cfm?id=HQ00182

>>>>>>>>>>>>>>>>>

What is an acoustic neuroma?
"An acoustic neuroma (sometimes also termed a neurinoma or vestibular
schwannoma) is a benign or non-cancerous growth that arises from the
8th or vestibulo-cochlear nerve."
http://www.med.umn.edu/otol/library/aneuroma/origin.htm

Symptoms:
    * Hearing loss
    * Ringing in the ears (tinnitus)
    * Dizziness (vertigo)
    * Difficulty in balance (imbalance or dysequilibrium)
    * Fullness or pressure in the ears
    * Facial numbness or paralysis (for very large tumors)
http://www.med.umn.edu/otol/library/aneuroma/symptom.htm

Diagnosis:
"A majority of the patients can be diagnosed by imaging techniques
(MRI/CT scans) which is the gold standard."
http://www.med.umn.edu/otol/library/aneuroma/diagnos.htm

There are 3 treatment options available for AN
    *Observation
    *Microsurgical removal (partial or total)
    *Stereotactic radiation therapy (radiosurgery) 
http://www.med.umn.edu/otol/library/aneuroma/treatmen.htm

>>>>>>>>>>>>>>>>>

RADIOLOGICAL EXAMINATIONS:

Computed Tomography (CT) - Head:
"Computed tomography (CT), sometimes called CAT scan, uses special
x-ray equipment to obtain many images from different angles, and then
join them together to show a cross-section of body tissues and organs.
CT scanning provides more detailed information on head injuries, brain
tumors, and other brain diseases than do regular radiographs (plain
x-ray films). It also can show bone, soft tissues, and blood vessels
in the same images. CT of the head and brain is a patient-friendly
exam that involves radiation exposure."
http://www.radiologyinfo.org/content/ct_of_the_head.htm

MR Imaging (MRI) - Head:
"Magnetic resonance imaging (MRI) uses radio waves and a strong
magnetic field rather than x-rays to provide remarkably clear and
detailed pictures of internal organs and tissues. This technique has
proved very helpful to radiologists in diagnosing tumors of the brain
as well as disorders of the eyes and the inner ear. It requires
specialized equipment and expertise and allows evaluation of some body
structures that may not be as visible with other imaging methods."
http://www.radiologyinfo.org/content/mr_of_the_head.htm

>>>>>>>>>>>>>>>>>

Additional Link:

Acoustic Neuroma Association (ANA):
http://anausa.org/

I hope this helps. If you have any questions, please post a
clarification request before closing/rating my answer.

Thank you,
hummer

Google Search Terms Used: acoustic neurma
Comments  
Subject: Re: Conventional radiological investigation of acoustic neuroma
From: voila-ga on 17 Apr 2004 14:57 PDT
 
Here are a few advanced techniques also:

IAC Protocol
http://www.advanceforirt.com/common/editorial/editorial.aspx?CC=10409

Acoustic Neuroma (hearing loss/dizziness), other CPA angle lesions,
temporal bones, brainstem - IAC protocol - Sag T1, axial FLAIR, axial
T2, axial DWI through whole brain, 3mm axial T1 through IAC, MRS, post
gado 3mm axial and coronal T1 with fat sat through IAC, optional T1
axial through whole brain
http://www.mgh.harvard.edu/neuroradiology/NewFiles/mrip.html

Acoustic Neuroma
http://www.aafp.org/afp/20040101/120.html

Cost-Effective Screening with Unenhanced MR
http://www.ajnr.org/cgi/reprint/17/7/1226.pdf

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