title: The burden of screening for acoustic neuroma: asymmetric otological symptoms in the ENT clinic.
abstract: The rising numbers of legal cases relating to delay in the diagnosis of acoustic neuroma, combined with the increasing availability of magnetic resonance, is increasing pressure on otologists to make an early definitive diagnosis of cerebellopontine angle tumours. Unilateral or asymmetrical otologic symptoms not explained by external or middle ear disease are elicited in 16.6% of 500 consecutive attenders to an otolaryngology clinic. An agreed policy of risk stratification of patients with unexplained asymmetric otological symptoms is required if expense is to be limited and litigation minimized.
authors.affiliation: Royal National Throat, Nose and Ear Hospital, London, UK.
authors.forename: E W
authors.initials: EW
authors.lastname: Fisher
authors.forename: A A
authors.initials: AA
authors.lastname: Parikh
authors.forename: J P
authors.initials: JP
authors.lastname: Harcourt
authors.forename: A
authors.initials: A
authors.lastname: Wright
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002528:Cerebellar Neoplasms / Q000517:prevention & control*; D002530:Cerebellopontine Angle / Q000473:pathology*; D002648:Child; D002675:Child, Preschool; D003638:Deafness / Q000175:diagnosis / Q000517:prevention & control; D004427:Ear Diseases / Q000175:diagnosis / Q000517:prevention & control*; D004433:Earache / Q000175:diagnosis / Q000517:prevention & control; D005260:Female; D006311:Hearing Disorders / Q000175:diagnosis / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000517:prevention & control*; D015995:Prevalence; D011446:Prospective Studies; D014012:Tinnitus / Q000175:diagnosis / Q000517:prevention & control