A Trigeminal Schwannoma Masked by Solely Vestibulocochlear Symptoms

2019 ◽  
Author(s):  
Lauran K. Evans ◽  
Lazaro Peraza ◽  
Anthony Zamboni
Keyword(s):  
Hearing Loss ◽  
Retrospective Chart Review ◽  
Diagnostic Error ◽  
External Compression ◽  
Vestibulocochlear Nerve ◽  
Record Keeping ◽  
Trigeminal Schwannoma ◽  
Imaging Results ◽  
Magnetic Resonance Imaging Mri

Background: Intracranial schwannomas are most commonly associated with the vestibulocochlearnerve, often leading to hearing loss, tinnitus, and vestibular dysfunction. Much less often, a schwannomacan arise from the trigeminal nerve which can lead to facial pain, numbness, and weakness.<br />Purpose: We explored a case of a patient with an magnetic resonance imaging (MRI)-confirmed trigeminalschwannoma that was mistaken for a vestibulocochlear schwannoma because of a myriad of ipsilateralvestibulocochlear symptoms.<br />Research Design: This is a retrospective chart review and case study, with no statistics applied.<br />Results: This diagnostic error led to clinical confusion and inaccurate medical record-keeping. Radiologistsand radiation oncologists deemed the patient’s symptoms to be unrelated to the asymptomatictrigeminal schwannoma, and she was referred to an otolaryngologist following complaints of ear fullness,ear pain, and hearing loss. The patient’s audiogram showed ipsilateral, asymmetric sensorineural hearingloss, and she was diagnosed with concurrent Meniere’s disease. Alternative explanations, such as anadditional schwannoma or external compression of the vestibulocochlear nerve, were considered, but notapparent on MRI.<br />Conclusions: From this case, we see that symptoms do not always concur with imaging results and thatmultiple etiologies, especially when one is rare, can confuse a clinical picture.<br />

scholarly journals A Trigeminal Schwannoma Masked by Solely Vestibulocochlear Symptoms

2020 ◽  
Vol 31 (06) ◽  
pp. 449-454
Author(s):  
Lauran K. Evans ◽  
Lazaro Peraza ◽  
Anthony Zamboni
Keyword(s):  
Hearing Loss ◽  
Retrospective Chart Review ◽  
Diagnostic Error ◽  
External Compression ◽  
Vestibulocochlear Nerve ◽  
Record Keeping ◽  
Trigeminal Schwannoma ◽  
Imaging Results ◽  
Magnetic Resonance Imaging Mri ◽  
Asymmetric Sensorineural Hearing Loss

Abstract Background Intracranial schwannomas are most commonly associated with the vestibulocochlear nerve, often leading to hearing loss, tinnitus, and vestibular dysfunction. Much less often, a schwannoma can arise from the trigeminal nerve which can lead to facial pain, numbness, and weakness. Purpose We explored a case of a patient with an magnetic resonance imaging (MRI)-confirmed trigeminal schwannoma that was mistaken for a vestibulocochlear schwannoma because of a myriad of ipsilateral vestibulocochlear symptoms. Research Design This is a retrospective chart review and case study, with no statistics applied. Results This diagnostic error led to clinical confusion and inaccurate medical record-keeping. Radiologists and radiation oncologists deemed the patient's symptoms to be unrelated to the asymptomatic trigeminal schwannoma, and she was referred to an otolaryngologist following complaints of ear fullness, ear pain, and hearing loss. The patient's audiogram showed ipsilateral, asymmetric sensorineural hearing loss, and she was diagnosed with concurrent Meniere's disease. Alternative explanations, such as an additional schwannoma or external compression of the vestibulocochlear nerve, were considered, but not apparent on MRI. Conclusions From this case, we see that symptoms do not always concur with imaging results and that multiple etiologies, especially when one is rare, can confuse a clinical picture.

The Value of Brain Imaging in Children With Headaches

PEDIATRICS ◽  
1995 ◽  
Vol 96 (3) ◽  
pp. 413-416
Author(s):  
Joseph Maytal ◽  
Robert S. Bienkowski ◽  
Mahendra Patel ◽  
Lydia Eviatar
Keyword(s):  
Brain Tumors ◽  
Brain Imaging ◽  
Retrospective Chart Review ◽  
Imaging Studies ◽  
Mri Studies ◽  
Imaging Results ◽  
Neurology Clinic ◽  
Magnetic Resonance Imaging Mri ◽  
Chronic Headaches ◽  
Atypical Headache

Objective. To determine the value of performing computed tomography (CT) or magnetic resonance imaging (MRI) studies in children with chronic headaches. Background. Headache is a common complaint in children, With the proliferation of brain imaging centers and the increasing patient demand for CT or MRI studies, brain imaging has become widely used to evaluate headaches. Methods. A retrospective chart review was conducted of all children referred to the pediatric neurology clinic for evaluation of headaches over a 2-year period. Charts were reviewed for headache characteristics, clinical indications for performing CT and MRI studies, and imaging results. Particular attention was paid to evidence of brain tumors, vascular anomalies, or hydrocephalus. Results. A total of 133 records were studied. Subjects ranged in age from 3 to 18 years. Most patients were diagnosed as having either vascular migrainous headaches (52%) or chronic tension headaches (21%). Other headache diagnoses were mixed tension-migraine, psychogenic, and post-traumatic. Headaches were unclassified in 25 patients (19%). Seventy-eight patients (59%) had brain imaging: 45 had MRI, 27 had CT, and 6 patients had both. In most cases, brain imaging studies were performed in patients with atypical headache pattern, presence of neurologic abnormalities during the headache, general symptoms (ie, weight loss or fatigue), or because of parents' or doctors' concerns about brain tumors. Cerebral abnormalities were found on brain imaging in four patients, but none indicated the presence of a treatable disease and all were deemed unrelated to the presenting complaint. Our findings of no relevant abnormalities in a series of 78 brain imaging studies indicate that the maximal rate at which such abnormalities might appear in this population is 3.8%. Conclusions. These results indicate that brain imaging studies have very limited value in evaluating headaches in pediatric patients without clinical evidence of an underlying structural lesion.

What Clinicians Need to Know About Early Literacy Development in Children With Hearing Loss

2019 ◽  
Vol 50 (1) ◽  
pp. 16-33 ◽  
Author(s):  
Elizabeth Runnion ◽  
Shelley Gray
Keyword(s):  
Hearing Loss ◽  
Early Literacy ◽  
Skill Development ◽  
Reading Proficiency ◽  
Literacy Skills ◽  
Literacy Skill ◽  
Early Literacy Development ◽  
Literacy Skill Development ◽  
Children With Hearing Loss

PurposeChildren with hearing loss may not reach the same level of reading proficiency as their peers with typical development. Audiologists and speech-language pathologists (SLPs) have important roles to play in preventing this problem early in children's development. In this tutorial, we aim to communicate how the habilitation practices of audiologists and intervention services of SLPs can support early literacy skill development in children with hearing loss.MethodWe describe key findings from peer-reviewed research articles to provide a review of early literacy skill development, to explain the relationship between early literacy skills and conventional reading skills, and to highlight findings from early literacy skill intervention studies that included children with hearing loss who use spoken language. We conclude with a hypothetical case study to illustrate how audiologists and SLPs can support early literacy acquisition in children with hearing loss.ConclusionFindings from studies of young children with hearing loss suggest that a promising approach to improving reading outcomes is to provide explicit early literacy instruction and intervention.

OCCUPATIONAL HEARING LOSS IN INDIAN FORGING UNIT DUE TO IMPACT OF IMPULSIVE NOISE: A CASE STUDY

2018 ◽  
Vol 11 (4) ◽  
Author(s):  
Kamaljeet Bhambri ◽  
Ishbir Singh ◽  
Harwinder Singh ◽  
Tejeet Singh
Keyword(s):  
Hearing Loss ◽  
Impulsive Noise ◽  
Occupational Hearing Loss

scholarly journals Denervation of the Eustachian Tube and Hearing Loss Following Trigeminal Schwannoma Resection

2016 ◽  
Vol 77 (01) ◽  
pp. e56-e61 ◽  
Author(s):  
Alexander Malone ◽  
Ricky Wong ◽  
Harry van Loveren ◽  
K. Boyev ◽  
Christopher Ito
Keyword(s):  
Hearing Loss ◽  
Eustachian Tube ◽  
Trigeminal Schwannoma

Factors influencing the implementation of electronic records and information management

2019 ◽  
Vol 30 (1) ◽  
pp. 81-99
Author(s):  
Azlan Long Abdullah ◽  
Zawiyah Mohammad Yusof ◽  
Umi Asma Mokhtar
Keyword(s):  
Content Analysis ◽  
Information Management ◽  
Military Service ◽  
Technology Development ◽  
Governance Structure ◽  
Electronic Records ◽  
Research Approach ◽  
Content Type ◽  
Record Keeping

Purpose The purpose of this paper is to explore, identify and gain insight into factors related to electronic records and information management (e-RIM) issues and their influence on the implementation of e-RIM initiative in military service in Malaysia. This exploration was conducted via a literature review and case study. Design/methodology/approach This study adopted a qualitative approach and used a case study involving two army departments in Malaysia. Interviews triangulated by document content analysis and observations were used for data collection. The data were analysed using a directional content analysis approach. Findings This study reveals that people, organizations, technology and processes are the interrelated contexts underlying e-RIM issues which inevitably influence the implementation of e-RIM initiatives. Competency and leadership, governance structure, culture and strategic planning, technology development and record-keeping process are the main factors impacting such efforts, in turn forming potential obstacles for organizations implementing such initiatives. Research limitations/implications The research approach and design adopted and the sample size were insufficient for generalization of the findings. Practical implications This study shows that e-RIM initiatives pose greater challenges related to various issues that cause difficulties in improving and implementing the initiative. Thus, it is crucial for organizations to ascertain and comprehend the factors that influence e-RIM initiatives prior to formulating strategies and approaches in addressing those factors, which would in turn affect the implementation of e-RIM initiatives. Originality/value This study provides insights into the fundamental factors embracing the e-RIM issues which influence the initiatives, and thereby fosters further discussion and research in the subject matter in Malaysia.

scholarly journals THE ROLE OF FAMILY INTERVENTION IN EARLY DETECTION OF CONGENITAL DEAFNESS: A CASE STUDY

2020 ◽  
Vol 1 (2) ◽  
pp. 98
Author(s):  
Alif Sholehen ◽  
Fajrinka Pralampito ◽  
Antonius Galih ◽  
Akbar Ghaus ◽  
Andi Airina ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Family Intervention ◽  
Congenital Deafness ◽  
Congenital Hearing Loss ◽  
Her Family ◽  
Problem Detection ◽  
Outcomes For Children ◽  
Children With Hearing Loss ◽  
Development Outcomes

Congenital deafness is a hearing loss disorder that occurs at birth and is one of the disorders that can cause complications when it is not treated.1 Children with hearing loss will face difficulties such as poor development outcomes, including poor speech and language skills and face difficulties with cognition and social-emotional interactions. Early intervention has been proven to be one of the most important factors leading to good outcomes for children with congenital hearing loss.2 This case study is intended to highlight the importance of early case detections, early interventions and how family support plays a crucial role in the development of children with hearing loss. With the support of her family, Ms. DRP has gone through several speech and hearing therapies since her surgery and has proven to have an above-average linguistic abilities, showing that early problem detection does not hinder the development and achievement of children with congenital hearing loss.

scholarly journals Dorsal Wrist Pain in the Extended Wrist-Loading Position: An MRI Study

2017 ◽  
Vol 06 (04) ◽  
pp. 276-279 ◽  
Author(s):  
Erin Nance ◽  
David Byun ◽  
Yoshimi Endo ◽  
Scott Wolfe ◽  
Steve Lee
Keyword(s):  
Ganglion Cyst ◽  
Weight Bearing ◽  
Retrospective Chart Review ◽  
Wrist Pain ◽  
Control Group ◽  
Level Of Evidence ◽  
Ganglion Cysts ◽  
Magnetic Resonance Imaging Mri ◽  
Mri Study ◽  
Dorsal Ganglion

Background The etiology of dorsal wrist pain associated with loading of the wrist in extension has not been clearly identified in the literature. Purpose Many exercise disciplines incorporate upper extremity weight-bearing exercises in an extended wrist posture, for example push-ups, plank position, and various yoga and Pilates poses. This study evaluates patients with dorsal wrist pain in the extended wrist-loading position and identifies anatomic abnormalities in the wrist using magnetic resonance imaging (MRI). Methods A retrospective chart review was performed comparing MRI of patients who complained of dorsal wrist pain while performing weight bearing in a wrist extension position with a control group of patients who complained of ulnar-sided wrist pain. The primary MRI outcome was dorsal wrist pathology, including occult dorsal ganglion cyst, scapholunate ligament tear or degeneration, and dorsal capsulitis. Results Dorsal wrist pathology was significantly more prevalent in patients with dorsal wrist pain (84%) than in the patient cohort with ulnar-sided wrist pain (12%). Occult dorsal ganglion cysts were the most common sources of pathology (76%). Conclusion MRI demonstrated an identifiable dorsal abnormality in 84% of patients with dorsal wrist pain associated with weight bearing on the extended wrist. Occult dorsal ganglion cysts are the most common cause of dorsal wrist pain, followed by partial scapholunate tears. When patients complain of dorsal wrist pain during specific extended loading wrist positions such as push-ups, yoga, or Pilates poses, an MRI may be warranted to help identify anatomic abnormalities that may help guide treatment choices. Level of Evidence Diagnostic, Level III.

scholarly journals Superficial Siderosis and Sudden Sensorineural Hearing Loss: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Kirsti S. V. Lee ◽  
Niranjan Sritharan ◽  
Allan Forrest
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Sensorineural Hearing Loss ◽  
Unusual Case ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
Superficial Siderosis ◽  
Imaging Features ◽  
Delayed Complication ◽  
Magnetic Resonance Imaging Mri

This case report highlights an unusual case of sudden sensorineural hearing loss related to superficial siderosis (SS). Our patient had a craniotomy for medulloblastoma 23 years earlier, and this may represent a delayed complication related to this procedure. Magnetic resonance imaging (MRI) remains the key diagnostic investigation to illustrate the imaging features of superficial siderosis and exclude other pathologies. Increased awareness of progressive and sudden hearing complications caused by SS is important in the otolaryngologic community to expedite management and better counsel patients during the consent process.

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