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July 1955

Acoustic Neurofibroma: The Relationship of X-Ray Findings to the Otological Diagnosis

Author Affiliations

Whittier, Calif.

AMA Arch Otolaryngol. 1955;62(1):18-27. doi:10.1001/archotol.1955.03830010020002

Of the wide variety of symptoms which patients present to the otologist, deafness and tinnitus are the commonest. Unfortunately, the earliest symptoms of an eighthnerve tumor are usually these same symptoms. It is only when the patient has let the disease progress to a more advanced stage before presenting himself to the physician that one finds additional evidence to aid in making the diagnosis. Neurofibromas are notably slow-growing tumors and initially give rise to relatively mild symptoms. These early symptoms are frequently ignored by the patient or improperly evaluated by the physician. As otologists we are often the first to see the majority of these patients either by patient choice or by physician referral. This is a rather heavy responsibility when one realizes that acoustic neurofibromas comprise approximately 8% of all brain tumors.1

It is the purpose of this paper to emphasize the fact that x-ray evidence may be

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