Coca Pelaz Andrés, Rodrigo Juan P, Llorente José L, Gómez Justo R, Suárez Carlos
Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.
Acta Otorrinolaringol Esp. 2008 Apr;59(4):187-9.
The aim of this study is evaluate the unusual ways of initial presentation of the vestibular schwannomas. We performed a retrospective study of the patients who underwent resection of acoustic neuromas on our service, including for analysis only the cases which initial symptom was not the hearing loss. Tumor size, localization, clinical presentation, and age of the patients were considered. Nine patients present with atypical symptoms. The most common complain in this group were facial paresthesias (22,2 %). None of them complained about other otological symptoms. A significant group of patients did not present with the otological symptoms classically associated with vestibular schwannoma. Clinical knowledge of these kinds of symptoms may lead to earlier detection of these lesions.
本研究的目的是评估前庭神经鞘瘤不寻常的初始表现方式。我们对在本院接受听神经瘤切除术的患者进行了一项回顾性研究，仅分析初始症状不是听力损失的病例。考虑了肿瘤大小、位置、临床表现和患者年龄。9例患者表现为非典型症状。该组最常见的主诉是面部感觉异常（22.2%）。他们均未抱怨其他耳科症状。相当一部分患者没有出现与前庭神经鞘瘤经典相关的耳科症状。了解这些症状的临床知识可能会更早发现这些病变。
