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두부외상 후 고도 난청으로 발현된 와우내 신경초종 1예

A Case of Intracochlear Schwannoma Expressed by Severe Sensorineural Hearing Loss after Head Trauma

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주제분류이비인후과학

초록

Intralabyrinthine schwannoma is a rare tumor arising from perineural Schwan cells of 8th cranial nerve. Intracochlear schwannoma(ICS) arising from cochlear nerve can have various type of sensoryneural hearing loss(SNHL) without vestibular symptoms. Hearing loss type of ICS was mostly progressive(48%), but sudden hearing loss was described in 15%.1) The authors experienced a case of ICS expressed by severe sudden SNHL after head trauma. We report this case with a review of the literature.

Abstract

Intralabyrinthine schwannoma is a rare tumor arising from perineural Schwan cells of 8th cranial nerve. Intracochlear schwannoma(ICS) arising from cochlear nerve can have various type of sensoryneural hearing loss(SNHL) without vestibular symptoms. Hearing loss type of ICS was mostly progressive(48%), but sudden hearing loss was described in 15%.1) The authors experienced a case of ICS expressed by severe sudden SNHL after head trauma. We report this case with a review of the literature.

참고문헌 (9)

  1. Grayeli AB, "Diagnosis and management of intracochlear schwannomas", Otol Neurotol, 28(7), pp.851~857 (2007)
  2. 박민우, "와우내 신경초종 2예", 대한이비인후과학회지 두경부외과학, 52(12), pp.996~1000 (2009), 대한이비인후과학회
  3. Grayeli AB, "Diagnosis and management of intracochlear schwannomas", Otol Neurotol, 28(7), pp.951~957 (2007)
  4. Kennedy RJ, "Intralabyrinthine schwannomas: diagnosis, management and a new classfication system", Otol Neurotol, 25(2), pp.160~167 (2004)
  5. Hegarty JL, "The value of enhanced magnetic resonance imaging in the evaluation of endocochlear disease", Laryngoscope, 112(1), pp.8~17 (2002)
  6. Bradley WG Jr, "MR appearance of hemorrhage in the brain", Radiology, 189(1), pp.15~26 (1993)
  7. Janick PA, "MR imaging of various oxidation states of intracelluar and extracelluar hemoglobin", AJNR Am J Neuroradiol, 12(5), pp.891~897 (1991)
  8. Franco-Vidal V, "Intracochlear hemorrhage after gamma knife radiosurgery", Otol Neurotol, 28(2), pp.240~244 (2007)
  9. Yu JS, "Glioblastoma induction after radiosurgery for meningioma", Lancet, 356(9241), pp.1576~1577 (2000)

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