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An unusual posterior cranial fossa tumour causing hearing loss

Published online by Cambridge University Press:  29 June 2007

A. Pace-Balzan*
Affiliation:
Registrar, University Department of Otolaryngology. Manchester Royal Infirmary. Oxford Road. Manchester 13.
R. T. Ramsden
Affiliation:
Consultant Otolaryngologist, University Department of Otolaryngology. Manchester Royal Infirmary. Oxford Road. Manchester 13.
R. H. Lye
Affiliation:
Consultant Neurosurgcon. Department of Neurosurgery. Manchester Royal Infirmary. Oxford Road. Manchester 13.
J. P. R. Jenkins
Affiliation:
Senior Research Fellow/Honorary Consultant Radiologist. Department of Diagnostic Radiology. University of Manchester. Oxford Road. Manchester 13.
*
Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.

Abstract

Clivus meningioma is an uncommon tumour arising from the region of the synchondrosis between the basal portions of the sphenoid and occipital bones. We report a case of a patient with a large meningioma of the clivus whose presenting symptom was auditory change. Alteration of hearing is a rare mode of presentation for such a tumour although it may present at a later stage in about 50 per cent of cases. The discrepancy between the size of the tumour and the paucity of physical findings, the value of a multiple test auditory screening strategy, and the surgical approach in this case are discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1988

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References

Cherrington, M. and Schneck, S. A. (1966). Clivus meningioma. Neurology, 16: 8692.Google Scholar
Chiveralls, K. (1977) A further examination of the use of the stapedius reflex in the diagnosis of acoustic neuroma. Audiology 16: 331337.Google Scholar
Jerger, J. and Jerger, S. (1971) Diagnostic significance of PB word functions. Archives of Otolaryngology, 93: 573580.Google Scholar
Jerger, J., Neely, G. and Jerger, S. (1980) Speech, impedance and auditory brainstem response audiometry in brainstem tumours. Archives of Otolaryngology, 106: 218223.Google Scholar
Malis, L. (1982) cited by Tarlov, E.Surgical management of tumours of the tentorium and clivus. In: Schmidek, H. H., Sweet, W. H. (Eds), Operative Neurosurgical Techniques–Indications, Methods, and Results; New York, Grune and Stratton, pp. 381388.Google Scholar
Morley, T. P. (1973) Tumours of the cranial meninges. In: Youmans, J. R. (Ed) Neurological Society (1st edition), Philadelphia, W. B. Saunders Co, pp. 13881411.Google Scholar
Ramsden, R. T. (1987) Acoustic Tumours. In: Kerr, (Ed), Scott Brown's Diseases of the Ear, Nose and Throat (5th Edition). London, Butterworth, Vol. 3, Chap. 21.Google Scholar
Schuknecht, H. F. and Woellner, R. C. (1955) An experimental and clinical study of deafness from lesions of the cochlear nerve. Journal of Laryngology and Otology, 69: 7597.CrossRefGoogle ScholarPubMed