title: Four cases of acoustic neuromas with normal hearing.
abstract: In 95 percent of the cases, patients with acoustic neuromas will have some magnitude of hearing loss in the affected ear. This paper reports on four patients who had acoustic neuromas and normal hearing. Results from the case history, audiometric evaluation, auditory brainstem response (ABR), electroneurography (ENOG), and vestibular evaluation are reported for each patient. For all patients, the presence of unilateral tinnitus was the most common complaint. Audiologically, elevated or absent acoustic reflex thresholds and abnormal ABR findings were the most powerful diagnostic tools.
authors.affiliation: Department of Otolaryngology, Washington University School of Medicine, St Louis, MO 63110, USA.
authors.forename: M
authors.initials: M
authors.lastname: Valente
authors.forename: J
authors.initials: J
authors.lastname: Peterein
authors.forename: J
authors.initials: J
authors.lastname: Goebel
authors.forename: J G
authors.initials: JG
authors.lastname: Neely
mesh_terms: D000328:Adult; D004428:Ear Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D004576:Electromyography; D004584:Electronystagmography; D016057:Evoked Potentials, Auditory, Brain Stem; D005154:Facial Nerve; D005260:Female; D006309:Hearing / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D012022:Reflex, Acoustic; D014012:Tinnitus / Q000209:etiology; D014717:Vertigo / Q000209:etiology; D014724:Vestibular Function Tests; D000159:Vestibulocochlear Nerve / Q000473:pathology*