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27.10.2017 | Original articles

Preoperative determination of nerve of origin in patients with vestibular schwannoma

verfasst von: Prof. Dr. T. Rahne, S. Plößl, S. K. Plontke, C. Strauss

Erschienen in: HNO | Sonderheft 1/2018

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Abstract

Background

Vestibular schwannoma (VS) is a benign tumor that develops in the internal auditory canal and the cerebellopontine angle, potentially diminishing hearing or balance. Most VS tumors arise from one of two vestibular branches: the superior or inferior vestibular nerve. Determining the specific nerve of origin could improve patient management in terms of preoperative counseling, treatment selection, and surgical decision-making and planning. The aim of this study was to introduce a novel scoring system that was designed to determine the nerve of origin.

Methods

The nerve of origin was predicted based on video head impulse assessments of all semicircular channels, together with cervical/ocular vestibular-evoked myogenic potential tests. The acquired data were entered into a scoring system developed to allocate the tumor origin. Finally, the nerve of origin was definitively determined intraoperatively.

Results

The novel scoring system was applied to five consecutive patients undergoing surgical VS treatment. In one case, no determination was possible. In all other cases, the preoperatively predicted tumor origin was the same as the origin determined during surgery.

Conclusion

The scoring system predicts the nerve of origin and will be evaluated in a larger prospective cohort study of VS patients in the near future.

Andersen JF, Nilsen KS, Vassbotn FS et al (2015) Predictors of vertigo in patients with untreated vestibular schwannoma. Otol Neurotol 36(4):647–652. https://doi.org/10.1097/MAO.0000000000000668 CrossRefPubMed

Batuecas-Caletrio A, Santa Cruz-Ruiz S, Munoz-Herrera A, Perez-Fernandez N (2015) The map of dizziness in vestibular schwannoma. Laryngoscope 125(12):2784–2789. https://doi.org/10.1002/lary.25402 CrossRefPubMed

Blodow A, Blodow J, Bloching MB, Helbig R, Walther LE (2015) Horizontal VOR function shows frequency dynamics in vestibular schwannoma. Eur Arch Otorhinolaryngol 272(9):2143–2148. https://doi.org/10.1007/s00405-014-3042-2 CrossRefPubMed

Blodow A, Helbig R, Wichmann N, Wenzel A, Walther LE, Bloching MB (2013) Video head impulse test or caloric irrigation? Contemporary diagnostic tests for vestibular schwannoma (Video-Kopfimpulstest oder thermische Prufung? Zeitgemasse Funktionsdiagnostik des Vestibularisschwannoms). HNO 61(9):781–785. https://doi.org/10.1007/s00106-013-2752-x CrossRefPubMed

Brackmann DE, Owens RM, Friedman RA et al (2000) Prognostic factors for hearing preservation in vestibular schwannoma surgery. Am J Otol 21(3):417–424CrossRefPubMed

Chen C‑W, Young Y‑H, Tseng H‑M (2002) Preoperative versus postoperative role of vestibular-evoked myogenic potentials in cerebellopontine angle tumor. Laryngoscope 112(2):267–271. https://doi.org/10.1097/00005537-200202000-00013 CrossRefPubMed

Curthoys IS, Burgess AM, MacDougall HG et al (2009) Testing human otolith function using bone-conducted vibration. Ann N Y Acad Sci 1164:344–346. https://doi.org/10.1111/j.1749-6632.2008.03728.x CrossRefPubMed

Curthoys IS, Manzari L, Smulders YE, Burgess AM (2009) A review of the scientific basis and practical application of a new test of utricular function-ocular vestibular-evoked myogenic potentials to bone-conducted vibration. Acta Otorhinolaryngol Ital 29(4):179–186PubMedPubMedCentral

Halmagyi GM, Curthoys IS (1999) Clinical testing of otolith function. Ann N Y Acad Sci 871:195–204CrossRefPubMed

10.

He Y‑B, Yu C‑J, Ji H‑M, Qu Y‑M, Chen N (2016) Significance of Vestibular Testing on Distinguishing the Nerve of Origin for Vestibular Schwannoma and Predicting the Preservation of Hearing. Chin Med J 129(7):799–803. https://doi.org/10.4103/0366-6999.178958 CrossRefPubMedPubMedCentral

11.

Jacob A, Robinson LL, Bortman JS, Yu L, Dodson EE, Welling DB (2007) Nerve of origin, tumor size, hearing preservation, and facial nerve outcomes in 359 vestibular schwannoma resections at a tertiary care academic center. Laryngoscope 117(12):2087–2092. https://doi.org/10.1097/MLG.0b013e3181453a07 CrossRefPubMed

12.

Khrais T, Romano G, Sanna M (2008) Nerve origin of vestibular schwannoma: a prospective study. J Laryngol Otol 122(2):128–131. https://doi.org/10.1017/S0022215107001028 CrossRefPubMed

13.

von Kirschbaum C, Guerkov R (2016) Audiovestibular Function Deficits in Vestibular Schwannoma. Biomed Res Int. https://doi.org/10.1155/2016/4980562

14.

Komatsuzaki A, Tsunoda A (2001) Nerve origin of the acoustic neuroma. J Laryngol Otol 115(5):376–379CrossRefPubMed

15.

Koos WT, Day JD, Matula C, Di Levy (1998) Neurotopographic considerations in the microsurgical treatment of small acoustic neurinomas. J Neurosurg 88(3):506–512CrossRefPubMed

16.

Koos WT, Spetzler RF, Böck FW (1976) Microsurgery of cerebellopontine angle tumors. In: Koos WT, Böck FW, Spetzler RF, Ammermann B (eds) Clinical microneurosurgery. Thieme, Stuttgart and Acton, pp 91–112

17.

Macdougall HG, McGarvie LA, Halmagyi GM, Curthoys IS, Weber KP (2013) The video Head Impulse Test (vHIT) detects vertical semicircular canal dysfunction. PLOS ONE 8(4):e61488. https://doi.org/10.1371/journal.pone.0061488 CrossRefPubMedPubMedCentral

18.

MacDougall HG, McGarvie LA, Halmagyi GM, Curthoys IS, Weber KP (2013) Application of the video head impulse test to detect vertical semicircular canal dysfunction. Otol Neurotol 34(6):974–979. https://doi.org/10.1097/MAO.0b013e31828d676d CrossRefPubMed

19.

Manzari L, Burgess AM, Curthoys IS (2010) Effect of bone-conducted vibration of the midline forehead (Fz) in unilateral vestibular loss (uVL). Evidence for a new indicator of unilateral otolithic function. Acta Otorhinolaryngol Ital 30(4):175PubMedPubMedCentral

20.

Manzari L, Burgess AM, MacDougall HG, Curthoys IS (2013) Vestibular function after vestibular neuritis. Int J Audiol 52(10):713–718. https://doi.org/10.3109/14992027.2013.809485 CrossRefPubMed

21.

Manzari L, MacDougall HG, Burgess AM, Curthoys IS (2014) Selective otolith dysfunctions objectively verified. J Vestib Res 24(5):365–373. https://doi.org/10.3233/VES-140537 PubMed

22.

McGarvie LA, MacDougall HG, Halmagyi GM, Burgess AM, Weber KP, Curthoys IS (2015) The Video Head Impulse Test (vHIT) of Semicircular Canal Function – Age-Dependent Normative Values of VOR Gain in Healthy Subjects. Front Neurol 6:154. https://doi.org/10.3389/fneur.2015.00154 PubMedPubMedCentral

23.

Rachinger J, Rampp S, Prell J, Scheller C, Alfieri A, Strauss C (2011) Tumor origin and hearing preservation in vestibular schwannoma surgery. J Neurosurg 115(5):900–905. https://doi.org/10.3171/2011.7.JNS102092 CrossRefPubMed

24.

Rahne T, Weiser C, Plontke SK (2014) Neurofeedback-controlled comparison of the head elevation versus head rotation and head-hand methods in eliciting cervical vestibular evoked myogenic potentials. Audiol Neurootol 19(5):327–335. https://doi.org/10.1159/000362661 CrossRefPubMed

25.

Roosli C, Linthicum FH Jr., Cureoglu S, Merchant SN (2012) What is the site of origin of cochleovestibular schwannomas? Audiol Neurootol 17(2):121–125. https://doi.org/10.1159/000331394 CrossRefPubMed

26.

Suzuki M, Yamada C, Inoue R, Kashio A, Saito Y, Nakanishi W (2008) Analysis of vestibular testing in patients with vestibular schwannoma based on the nerve of origin, the localization, and the size of the tumor. Otol Neurotol 29(7):1029–1033. https://doi.org/10.1097/MAO.0b013e3181845854 CrossRefPubMed

27.

Tsutsumi T, Tsunoda A, Noguchi Y, Komatsuzaki A (2000) Prediction of the nerves of origin of vestibular schwannomas with vestibular evoked myogenic potentials. Am J Otol 21(5):712–715PubMed

28.

Ushio M, Iwasaki S, Chihara Y et al (2009) Is the nerve origin of the vestibular schwannoma correlated with vestibular evoked myogenic potential, caloric test, and auditory brainstem response? Acta Oto Laryngol 129(10):1095–1100. https://doi.org/10.1080/00016480802552543 CrossRef

29.

Valame DA, Gore GB (2016) Role of cervical vestibular evoked myogenic potentials (cVEMP) and auditory brainstem response (ABR) in the evaluation of vestibular schwannoma. Braz J Otorhinolaryngol. https://doi.org/10.1016/j.bjorl.2016.04.003 PubMed

30.

Walther LE, Blodow A (2013) Ocular vestibular evoked myogenic potential to air conducted sound stimulation and video head impulse test in acute vestibular neuritis. Otol Neurotol 34(6):1084–1089. https://doi.org/10.1097/MAO.0b013e318280da47 CrossRefPubMed

31.

Weber KP, MacDougall HG, Halmagyi GM, Curthoys IS (2009) Impulsive testing of semicircular-canal function using video-oculography. Ann N Y Acad Sci 1164:486–491. https://doi.org/10.1111/j.1749-6632.2008.03730.x CrossRefPubMed

32.

Welgampola MS, Colebatch JG (2005) Characteristics and clinical applications of vestibular-evoked myogenic potentials. Neurology 64(10):1682–1688. https://doi.org/10.1212/01.WNL.0000161876.20552.AA CrossRefPubMed

33.

Yang CJ, Lee JY, Kang BC, Lee HS, Yoo MH, Park HJ (2015) Quantitative analysis of gains and catch-up saccades of video-head impulse testing by age in normal subjects. Clin Otolaryngol. https://doi.org/10.1111/coa.12558 PubMed

34.

Young Y‑H, Huang T‑W, Cheng P‑W (2002) Vestibular evoked myogenic potentials in delayed endolymphatic hydrops. Laryngoscope 112(9):1623–1626. https://doi.org/10.1097/00005537-200209000-00018 CrossRefPubMed

Titel: Preoperative determination of nerve of origin in patients with vestibular schwannoma
verfasst von: Prof. Dr. T. Rahne
S. Plößl
S. K. Plontke
C. Strauss
Publikationsdatum: 27.10.2017
Verlag: Springer Medizin
Erschienen in: HNO / Ausgabe Sonderheft 1/2018
Print ISSN: 0017-6192
Elektronische ISSN: 1433-0458
DOI: https://doi.org/10.1007/s00106-017-0416-y

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Springer Medizin

Preoperative determination of nerve of origin in patients with vestibular schwannoma

Abstract

Background

Methods

Results

Conclusion

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Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

Update HNO

Springer Medizin

Abstract

Background

Methods

Results

Conclusion

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