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  • Title: Non-auditory presentations of cerebellopontine angle lesions.
    Author: Meyerhoff WL, Anderson RG.
    Journal: Laryngoscope; 1984 Jul; 94(7):904-6. PubMed ID: 6610810.
    Abstract:
    Most patients with cerebellopontine angle (CPA) neoplasms present with asymmetric hearing loss and/or tinnitus. For this reason it is well accepted that patients with these symptoms deserve a detailed neurotologic evaluation. Non-auditory presentations of CPA neoplasms, on the other hand, are frequently handled in a more complacent manner which may delay diagnosis and, therefore, result in increased morbidity. Six patients seen in the last 18 months serve to exemplify this point, as all 6 presented with non-auditory symptoms of CPA lesions and, in all cases, the diagnosis was delayed for at least 6 months. Any cranial neuropathy, unless otherwise explained, should suggest the presence of an intracranial or skull base lesion. The practicing physician must learn to give these non-auditory symptoms respect equal to that of asymmetric hearing loss and tinnitus and, therefore, equal evaluation.
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