[Vascular origin of cerebellopontine angle syndrome].
BACKGROUND
The seventh and eighth cranial nerves course toward the internal auditory canal within the cerebellopontine angle. Lesions in this region are usually related to malfunctions of these cranial nerves. Although an acoustic schwannoma is one of the main etiologies of cerebellopontine angle pathology, various inflammatory processes and vascular anomalies even though rare must be considered.


METHODS
We describe 5 cases with vascular loops of the basilar or vertebral arteries as a possible cause for hearing loss, vertigo and pulsatile tinnitus. In two cases the vascular lesion was confirmed at surgery, in which a decompression procedure was performed. The work-up for each patient included an auditory test battery and electronystagmography. Imaging studies included MRI and angiography in two cases.


CONCLUSIONS
Our experiences show that while the cerebellopontine angle syndrome is mostly caused by benign tumors an abnormal vascular loop has to be considered in any differential diagnosis.
Maurer
J
J
Universitäts HNO-Klinik, Mainz.
Ecke
U
U
Schmidt
C L
CL
Stoeter
P
P
Mann
W
W
D000328:Adult; D002530:Cerebellopontine Angle / Q000098:blood supply*; D019299:Decompression, Surgical; D003952:Diagnostic Imaging; D005155:Facial Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000160:Vestibulocochlear Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery