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  • Title: Atypical clinical presentations of vestibular schwannomas.
    Author: Mackle T, Rawluk D, Walsh RM.
    Journal: Otol Neurotol; 2007 Jun; 28(4):526-8. PubMed ID: 17414179.
    Abstract:
    UNLABELLED: A significant number of patients with vestibular schwannomas present atypically, with none of the classical symptoms of unilateral sensorineural hearing loss, tinnitus, and/or dysequilibrium. The aim of this study is to highlight those patients with unusual clinical symptoms. STUDY DESIGN: The clinical data of all patients who presented to the vestibular schwannoma clinic at Beaumont Hospital over the past 12 years was prospectively recorded in a computerized database. This paper reviews the atypical presenting symptoms. RESULTS: Three hundred ninety-eight patients were included in this study. A total of 3.7% of patients presented with atypical symptoms only. CONCLUSION: A significant subgroup, 3.7% in our study, did not present with the audiovestibular symptoms classically associated with vestibular schwannoma. Clinician awareness of the atypical clinical symptoms may lead to earlier detection of these lesions.
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