Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Tianjin, 300192, China.
Institute of Otolaryngology of Tianjin, Tianjin, 300192, China.
Curr Med Sci. 2021 Aug;41(4):661-666. doi: 10.1007/s11596-021-2407-1. Epub 2021 Aug 17.
Vestibular schwannomas (VS) are benign tumors of the vestibular nerve. The common first symptoms are hearing loss and tinnitus, followed by imbalance, vertigo, and facial nerve involvement. The subjective symptoms of VS patients are not consistent with the severity of vestibular lesions and the results of vestibular tests, which often interfere with clinicians' diagnoses. Thus, the main screening and diagnostic methods for VS are audiometry and magnetic resonance imaging (MRI), ignoring the evaluation of vestibular function at the source of pathological lesions. With the development and improvement of vestibular evaluation technology and its wide application in the clinic, modern vestibular examination technology can reflect the severity and frequency of vestibular lesions and compensation from multiple perspectives, providing an objective basis for the diagnosis and treatment of vestibular diseases. In this report, we review the results and characteristics of vestibular tests in VS patients and further clarify the clinical value of vestibular function assessment in the diagnosis and treatment of VS.
前庭神经鞘瘤(VS)是前庭神经的良性肿瘤。常见的首发症状是听力损失和耳鸣,随后出现平衡障碍、眩晕和面神经受累。VS 患者的主观症状与前庭病变的严重程度和前庭测试的结果不一致,这常常干扰临床医生的诊断。因此,VS 的主要筛查和诊断方法是听力测试和磁共振成像(MRI),而忽略了对病变源头的前庭功能的评估。随着前庭评估技术的发展和完善及其在临床中的广泛应用,现代前庭检查技术可以从多个角度反映前庭病变的严重程度和频率以及代偿情况,为前庭疾病的诊断和治疗提供客观依据。在本报告中,我们回顾了 VS 患者的前庭测试结果和特征,并进一步阐明了前庭功能评估在 VS 诊断和治疗中的临床价值。