Clinical evaluation was carried out on 13 cerebellopontine angle tumors which consisted of ten acoustic neuromas, two meningiomas and one facial nerve neurinoma. The relationship among the neurootological findings and CT scaning findings and gross appearance of the tumors were summarized as follows:
1) Many acoustic neuromas had initial symptoms of hearing loss associated with equilibrium disturbance and or gait disturbance at the time of diagnosis of tumors. As further increase in tumor size occurs, the patients tended to complain of a great variety of neurologic symptoms and nystagmus. With further enlargement in tumor size, appearance rate of abnormality in OKP test and ETT tended to be higher.
2) The acoustic neuromas which consisted mostly of cystic mass tended to show less hearing loss and nystagmus than those which consisted mostly of solid mass.
3) Caloric response appeared abnormal in all cases of acoustic neuroma.
4) In all cases of acoustic neuroma, Stenvers view and frontal tomographic sections of petrous pyramids showed enlargement of the internal audiotory canal. Plain CT scanning of acoustic neuromas tended to reveal iso-density or low density area. Contrast enhanced CT scanning tended to reveal ring-like high density area. Acoustic neuroma with ring-like high density on the CT scanning consisted of not only cystic mass but also solid mass.
5) In cases of meningioma and facial nerve neuroma, neuro-otological findings were scanty.
6) In ABR, none of the patients showed response or the presense of wave I only or waves I and II or the abnormality of interaural latency di fferene.
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