You Huizeng, Li Xiaoying, Wang Wuqing
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Nov;28(22):1809-11.
Vestibular schwannoma is a rare tumor, which is easily misdiagnosed. The authors presented a case of vestibular schwannoma in a 36-year-old woman. The clinical manifestations were recurrent vertigo, hearing loss of the left ear, and tinnitus. The pure tone audiometry threshold of the left ear was 45dBHL with air conduction, and 33 dBHL with bone conduction. A CT scan of the temporal bone region didn't show any abnormal finding. A MRI scan of the head showed nodule abnormal signal in the internal of left vestibular and the narrow of perilymphaticum gap in T2W1 + T2Flair. The initial diagnosis was Meniere's disease. And the post-operation pathologic diagnosis was vestibular schwannoma.
前庭神经鞘瘤是一种罕见肿瘤,容易被误诊。作者报告了一例36岁女性的前庭神经鞘瘤病例。临床表现为反复眩晕、左耳听力丧失和耳鸣。左耳纯音听力测定气导阈值为45dBHL,骨导阈值为33dBHL。颞骨区域CT扫描未显示任何异常发现。头部MRI扫描显示左侧前庭内有结节状异常信号,T2W1 + T2Flair序列显示内淋巴间隙变窄。初步诊断为梅尼埃病。术后病理诊断为前庭神经鞘瘤。