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MR imaging features of an intracochlear acoustic schwannoma

Published online by Cambridge University Press:  29 June 2007

Martin J. Donnelly
Affiliation:
Department of Otolaryngology, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.
Carmel A. Daly
Affiliation:
Department of Radiology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Robert J. S. Briggs*
Affiliation:
Department of Otolaryngology, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.
*
Mr Robert J. S. Briggs, Consultant Otolaryngologist, Royal Victorian Eye and Ear Hospital, 32 Gisborne Street, East Melbourne, Victoria 3002, Australia.

Abstract

We present a very unusual case of an acoustic neuroma involving the left cochlea and internal auditory canal of a 24-year-old man. Clinical suspicion was aroused when the patient presented with a left total sensorineural hearing loss and continuing vertigo. The diagnosis was made pre-operatively with MRI after initial CT scanning was normal. The tumour was removed via a transotic approach. This case report demonstrates the MRI features of an intracochlear schwannoma and emphasizes the importance of MRI in patients with significant auditory and clinical abnormalities with normal CT scans of the relevant region.

Type
Radiology in Focus
Copyright
Copyright © JLO (1984) Limited 1994

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