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Vestibulocochlear Nerve Disease
Disorders of Acoustic Nerve

Presentation

The typical presentation is with adult-onset sensorineural hearing loss or non-pulsatile tinnitus. In some patients, this goes unnoticed, and presentation is delayed until the lesion is much larger and presents with symptoms related to mass effect. [radiopaedia.org]

We present a case of a patient with confirmed WM who initially presented with peripheral visual, hearing, vestibular losses. Design/Methods:. [neurology.org]

So, in our case of bilateral VII and VIII cranial nerve involvement presented a diagnostic dilemma and definite etiology could not be ascertained. [indianjotol.org]

Neurosyphilis may present as acute meningitis with cranial nerve dysfunction. We present the clinical and MR imaging findings in a case of neurosyphilis causing facial and vestibulocochlear nerve dysfunction. [ajnr.org]

Clinical Presentation : A 71-year-old woman presented with several month history of progressive neurologic decline and a negative extensive workup performed elsewhere. [omicsonline.org]

Gastrointestinal

  • Nausea

    […] drugs that can reduce dizziness and nausea, and sedatives to allay the anxiety. [neuroequilibrium.in]

    The disorder may cause a person to experience such symptoms as sudden, severe vertigo (spinning/swaying sensation), dizziness, balance difficulties, nausea, vomiting, and concentration difficulties. [my.clevelandclinic.org]

    Treatment Acute vestibular neuritis is treated with medicines to suppress nausea and dizziness. [everydayhealth.com]

    Symptoms include tinnitus, sensorineural hearing loss, dizziness, or vertigo with or without vomiting and nausea. [deafwebsites.com]

    […] autonomic disorders; nausea, vomiting, sweating - vertigo is ALWAYS worse during head movement!! [quizlet.com]

Ears

  • Hearing Impairment

    Disease, damage, or deformity of the cochlear hair cells is a common cause of hearing impairment or deafness. These malfunctioning hair cells may send intermittent or unclear signals to the auditory nerve, or send no signal at all. [msdmanuals.com]

    Danielidis and other scientists from the Department of Otorhinolaryngology at the School of Medicine at Democritus University in Greece and published in the journal "Audiology & Neuro-ontology" states that "hearing impairment is a well-known consequence [livestrong.com]

    Evaluation of hearing impairment in leprosy patients taking multidrug therapy. Indian J Lepr, 2013; 85(4); 171-6. Sacheri, R. F(1963). Auricular leprosy and disturbance of hearing. Int.J.Lepr.33:383. Singh SR, et al. [hearinghealthmatters.org]

    Lesion of the tensor tympani branch → hearing impairment (particularly difficulty hearing low-pitched sounds) Lesions of the trigeminal nerve nuclei : Depending on which nuclei are affected ;, the patient may present with ipsilateral weakness of muscles [amboss.com]

  • Sudden Hearing Loss

    The first symptom is usually a gradual loss of hearing in one ear, often accompanied by ringing in the ear (tinnitus) or a feeling of fullness in the ear. Less commonly, acoustic neuromas may cause sudden hearing loss. [webmd.com]

    Audiograms revealed severe-to-profound sensorineural hearing loss on the left and severe sensorineural hearing loss on the right. [ajnr.org]

    Bilateral sudden sensorineural hearing loss caused by Charcot-Marie-Tooth disease. J Laryngol Otol 2003 May;117(5):399-401 Pelosi, S., et al. (2012). [dizziness-and-balance.com]

Neurologic

  • Headache

    There are often no specific symptoms of meningiomas other than headache. [nyhni.org]

    This condition—which involves dizziness, hearing loss, and headache—tends to last a few days or weeks, and then gradually subsides. Acute Vestibular Neuropathy This is damage to the vestibular portion of cranial nerve VIII. [abmp.com]

    Kids may seem momentarily scared and unsteady and also may have nausea, vomiting, involuntary eye movements, or headaches. [m.kidshealth.org]

    Complications: Pain and headache: These are usually short lived. Hearing loss: The surgery is designed to eliminate balance fibers and maintain hearing fibers, but this is sometimes not possible. Hearing loss may occur, and be mile to profound. [earassociates.com]

    She presented to our institution with complete left facial weakness, left-sided deafness, gait unsteadiness, headache and anorexia. [omicsonline.org]

  • Cranial Nerve Involvement

    A clinical study of the involvement of cranial nerves in leprosy. Indian J Leprosy, 2004; 76: 1-9 Wani, A.A., et al. A clinical study of the cranial nerve involvement in leprosy. Egyptian Dermatology Online Journal, 2009, 5 (2): 3. [hearinghealthmatters.org]

    Though in literature there are many articles of bilateral facial nerve palsy but simultaneous involvement of both the VII th and VIII th cranial nerves has rarely been reported. [indianjotol.org]

Workup

Acute stroke workup, including brain CT/CTA and MRI, were negative except a dolichoectatic basilar artery. [neurology.org]

Extensive systemic workup was likewise unrevealing prior to biopsy of the CPA lesion. [omicsonline.org]

Treatment

Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual. [books.google.com]

Treatments might include different; 1) surgical approaches for removal or debulking (partial removal) of a tumor or bone, 2) of radiation treatment or 3) tumor drug treatment. [nf2is.org]

Radiosurgery Radiosurgery treatments can be single or fractionated (multiple smaller treatments rather than one large one). [hopkinsmedicine.org]

If medical treatment does not satisfactorily reduce the symptoms, surgical intervention with a procedure called Microvascular Decompression (MVD) can be performed. [californiaearinstitute.com]

Treatment options There is no cure for auditory neuropathy. [betterhealth.vic.gov.au]

Prognosis

Treatment and prognosis There is variability in the rate of growth of these tumors, and as such, the decision to treat requires consideration of the patient's age and co-morbidities. [radiopaedia.org]

D'Ambrosio AL, Agazzi S (2007) Prognosis in patients presenting with brain metastasis from an undiagnosed primary tumor. Neurosurg focus 22:E7. [omicsonline.org]

Aggressive tumors and those that invade the sphenoid sinus, orbit (eye socket), and dura (outer covering of the brain) are known to have a poorer prognosis. Treatment includes both surgery and radiation with chemotherapy of questionable impact. [nyhni.org]

Cranial Nerve Malignant Neoplasm – Malignant cranial nerve sheath tumors are uncommon and deals with weak prognosis as those of spinal nerves at other places. [knowyourbody.net]

[…] posterior communicating artery aneurysm ) Pupillary sparing → often due to ischemic microangiopathy Treatment Compressive lesions: surgery Ischemic microangiopathy or demyelinating lesions: medical management with adequate control of the underlying disease Prognosis [amboss.com]

Etiology

Etiology Clinical features Extorsion of the eye : inability to depress and adduct the eyeball simultaneously (the pupil shoots upward during attempted adduction of the eyeball) Diplopia ( double vision ) Mild esotropia Trigeminal nerve lesion (V) Etiology [amboss.com]

[…] options Subheadings: analysis anatomy and histology blood blood supply cerebrospinal fluid chemically induced chemistry classification complications congenital cytology diagnosis diagnostic imaging drug therapy economics enzymology epidemiology ethnology etiology [ncbi.nlm.nih.gov]

Olfactory system dysfunction of central etiology is resistant to treatment, and sense of smell is regained by approximately 1/3 of patients within two years. [now.aapmr.org]

Jannetta PJ and DJ Bissonette (1978) Bell’s palsy: a theory as to etiology. Observations in six patients. Laryngoscope 88:849–54. PubMed Google Scholar 46. Schwaber MK and JW Hall (1992) Cochleovestibular nerve compression syndrome. I. [link.springer.com]

BPPV: Etiology and Symptoms The layout of the inner ear is complex. The vestibule, a hollow area at the center of the bony labyrinth, has several sub-portions. [abmp.com]

Epidemiology

PubMed search builder options Subheadings: analysis anatomy and histology blood blood supply cerebrospinal fluid chemically induced chemistry classification complications congenital cytology diagnosis diagnostic imaging drug therapy economics enzymology epidemiology [ncbi.nlm.nih.gov]

The epidemiology and treatment of Bell's palsy in the UK. Eur J Neurol 2002;9:63-7. [ PUBMED ] 4. Keane JR. Bilateral seventh nerve palsy: analysis of 43 cases and review of the literature. Neurology 1994,44:1198-2002. [ PUBMED ] 5. May M, Klein SR. [indianjotol.org]

Epidemiology including risk factors and primary prevention The exact incidence of cranial nerve injuries is unknown. [now.aapmr.org]

Pathophysiology

A disease of the inner ear characterised by episodes of deafness, tinnitus and vertigo, usually preceded by a sense of fullness in the ear; caused by build-up of fluid in the inner ear Describe the pathophysiology of Meniere's disease. 1. [brainscape.com]

Møller AR (1993) Cranial nerve dysfunction syndromes: Pathophysiology of microvascular compression. In: Neuro surgical Topics Book 13, ‘Surgery of Cranial Nerves of the Posterior Fossa,’ Chapter 2. D.L. Barrow, ed. [link.springer.com]

Vestibular nerve histopathology and theory of pathophysiology." Laryngoscope 102(9): 1030-6. [californiaearinstitute.com]

Moller AR (1999) Vascular compression of cranial nerves: II: pathophysiology. Neurol Res 21:439-443. Schwaber MK, Whetsell WO (1992) Cochleovestibular nerve compression syndrome. Ii. Vestibular nerve histopathology and theory of pathophysiology. [jneuro.com]

"Auditory dyssynchrony or auditory neuropathy: understanding the pathophysiology and exploring methods of treatment." Int J Pediatr Otorhinolaryngol 78(2): 171-173. Papadakis CE, Hajiioannou JK, Kyrmizakis DE, Bizakis JG. [dizziness-and-balance.com]

Prevention

[…] cytology diagnosis diagnostic imaging drug therapy economics enzymology epidemiology ethnology etiology genetics history immunology metabolism microbiology mortality nursing organization and administration parasitology pathology physiology physiopathology prevention [ncbi.nlm.nih.gov]

Early detection of changes in hearing can determine the type of loss and may prevent permanent deafness. [deafwebsites.com]

A facial nerve monitor is used to prevent this, and is successful in all but rare cases. Spinal Fluid Leak: Spinal fluid is the fluid that bathes the brain and can leak out into the ear or the wound in any surgery when the dura mater is opened. [earassociates.com]

In most cases a barrier is placed between the two structures (such as Teflon felt) in order to prevent further compression in the future. [californiaearinstitute.com]

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Available at: http://www.cdc.gov/nchstp/dstd/Syphilis_Facts.htm. Accessed October 4, 1999 ↵ STD Surveillance 1998 National Profile: Syphilis. [ajnr.org]

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