Clinical Challenges in Otolaryngology
July 19, 2010

Clinical Thresholds for When to Test for Retrocochlear Lesions: Con

Author Affiliations

Author Affiliation:Department of Otolaryngology–Head and Neck Surgery, University of Virginia Health System, Charlottesville.




Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Otolaryngol Head Neck Surg. 2010;136(7):727-729. doi:10.1001/archoto.2010.100

Hypothesis:Early diagnosis of vestibular schwannoma (VS) is critical in optimizing patient outcomes, and clinicians should have a low threshold for ordering MRI in patients with ASNHL.

When to perform a contrast-enhanced MRI—the gold standard for the diagnosis of VS—for a patient with ASNHL, unilateral tinnitus, unilateral aural fullness, or dizziness is often not so much solely based on the audiogram itself but on a constellation of clinical data, including the history, the age of the patient, the quality, duration, and frequency of the symptoms, history of noise exposure, family history of HL, as well as other audiometric parameters besides simply the pure-tone thresholds (the arguments over MRI vs ABR testing are well recognized and will not be discussed herein; for an excellent analysis proposing abandoning ABR testing, see Cueva1).

First Page Preview View Large
First page PDF preview
First page PDF preview