Hearing improvement after resection of a large jugular foramen schwannoma: Case report

Gregory P. Lekovic, L. Fernando Gonzalez, Peter Weisskopf, Kris A. Smith

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Although hearing improvement after surgery for small tumors of the cerebellopontine angle has been reported, the mechanism by which surgery leads to the improvement in hearing remains controversial. We report a patient who sought treatment for progressive tinnitus and hearing loss. Magnetic resonance imaging showed a large (5-cm) schwannoma in the cerebellopontine angle. At surgery the lesion was found to originate from rootlets of cranial nerve X at the jugular foramen. The patient underwent gross total resection of the tumor. Immediately after surgery, his hearing improved dramatically. We believe that our patient represents an example of hearing impairment at least in part referable to direct compression of the brainstem. Importantly, the patient's hearing deficit was completely reversible. Some authors claim that surgery to preserve hearing may be contraindicated in patients with speech discrimination scores below 50%. However, when extrinsic brainstem compression may contribute to the cause of such a hearing decrement, postoperative improvement in hearing may be a reasonable expectation.

Original languageEnglish (US)
Pages (from-to)195-199
Number of pages5
JournalSkull Base
Volume18
Issue number3
DOIs
StatePublished - May 2008

Keywords

  • Cerebellopontine angle
  • Hearing
  • Jugular foramen schwannoma
  • Retrosigmoid craniotomy

ASJC Scopus subject areas

  • Clinical Neurology

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