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  • Cited by 6
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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Gimsing, Steen and Nielsen, Marianne G. 2016. Noise-Induced Hearing Loss: Prevention is Possible. Health Scope, Vol. Inpress, Issue. Inpress,

    Hougaard, Dan Norgaard, Anne Pedersen, Thue Bibby, Bo Martin and Ovesen, Therese 2014. Is a redefinition of the growth criteria of vestibular schwannomas needed?. American Journal of Otolaryngology, Vol. 35, Issue. 2, p. 192.

    Youngs, Robin and Fisher, Edward 2014. Call me – mobile telephone blues. The Journal of Laryngology & Otology, Vol. 128, Issue. 05, p. 393.

    Chau, Justin K. Cho, John J.W. and Fritz, Dieter K. 2012. Evidence-Based Practice. Otolaryngologic Clinics of North America, Vol. 45, Issue. 5, p. 941.

    Schuz, J. Steding-Jessen, M. Hansen, S. Stangerup, S.-E. Caye-Thomasen, P. Poulsen, A. H. Olsen, J. H. and Johansen, C. 2011. Long-Term Mobile Phone Use and the Risk of Vestibular Schwannoma: A Danish Nationwide Cohort Study. American Journal of Epidemiology, Vol. 174, Issue. 4, p. 416.

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Vestibular schwannoma: when to look for it?

  • S Gimsing (a1)
  • DOI:
  • Published online: 19 November 2009

(1) To compare audiometric parameters in patients with vestibular schwannoma and in those with asymmetric hearing loss from other causes; and (2) to assess proposed screening criteria by comparing published protocols.


Audiometric data from 199 vestibular schwannoma patients and 225 non-tumour patients were compared. Eight screening protocols were tested on these 424 patients.


Vestibular schwannoma and non-tumour patients with little or no hearing loss in the unaffected ear were inseparable; however, vestibular schwannoma patients with hearing loss in the unaffected ear had greater audiometric asymmetry, compared with non-tumour patients with the same pattern of hearing loss. The sensitivity of screening protocols varied from 73 to 100 per cent; parallelism was observed between sensitivity and screening rate.


As regards vestibular schwannoma screening protocols, the best compromise between sensitivity and screening rate was offered by a criterion comprising either: (1) ≥20 dB asymmetry at two neighbouring frequencies, or unilateral tinnitus, or (2) ≥15 dB asymmetry at two frequencies between 2 and 8 kHz.

Corresponding author
Address for correspondence: Dr Steen Gimsing, Department of Audiology, Vejle Hospital, DK-7100Denmark. E-mail:
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1M Tos , SE Stangerup , P Cayé-Thomasen , T Tos , J Thomsen . What is the real incidence of vestibular schwannoma? Arch Otolaryngol Head Neck Surg 2004;130:216–20

6L Hunter , DT Ries , RS Schlauch , SC Levine , DW Ward . Safety and clinical performance of acoustic reflex tests. Ear Hear 1999;20:506–14

10SAR Nouraei , QJM Huys , P Chatrath , J Powles , JP Harcourt . Screening patients with sensorineural hearing loss for vestibular schwannoma using a bayesian classifier. Clin Otolaryngol 2007;32:248–54

11DB Welling , ME Glasscock , CI Woods , CG Jackson . Acoustic neuroma: a cost-effective approach. Otolaryngol Head Neck Surg 1990;103:364–70

13C Elberling , C Ludvigsen , PE Lyregaard . Dantale: a new Danish speech material. Scand Audiol 1989;18:169–75

14WJ Neary , VE Newton , SN Laoide-Kemp , RT Ramsden , VF Hillier , SW Kan . A clinical, genetic and audiological study of patients and families with unilateral vestibular schwannomas. II. Audiological findings in 93 patients with unilateral vestibular schwannomas. J Laryngol Otol 1996;110:1120–8

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