Demanez J P
Acta Otorhinolaryngol Belg. 1987;41(1):108-19.
A group of 146 patients with surgically proved C-P angle tumors were studied in respect of the incidence of the trigemino-facial and cochleo-vestibular signs. The particular purpose of this study was to determine the pertinent signs in the early diagnosis of the C-P angle tumor, its stage and histo-pathologic feature's determination. The principal indices of C-P angle tumor are: Wrisberg nerve dysfunction; neural hearing loss as designed by stapedius reflex study and BERA; unilateral vestibular deficit without true and persistent vertigo, first at all when associated with central vestibular signs. The central vestibular syndrome grade, the trigeminal hyposensitivity and the cophose can perform a correction of the stage estimation in 39% when false estimation has been done. Endly, 7 criteria are proposed which help the histopathologic feature differentiation.
对一组146例经手术证实为桥小脑角肿瘤的患者进行了三叉神经 - 面神经及耳蜗 - 前庭体征发生率的研究。本研究的特定目的是确定桥小脑角肿瘤早期诊断、分期及组织病理学特征判定的相关体征。桥小脑角肿瘤的主要指标为:Wrisberg神经功能障碍;通过镫骨肌反射研究和脑干听觉诱发电位(BERA)所确定的神经性听力损失;无真性和持续性眩晕的单侧前庭功能缺损,尤其是在伴有中枢性前庭体征时。当中枢性前庭综合征分级、三叉神经感觉减退和听觉障碍在出现错误分期估计时,可在39%的情况下对分期估计进行校正。最后,提出了7条有助于区分组织病理学特征的标准。