Neurol. praxi. 2024;25(4):303-308 | DOI: 10.36290/neu.2024.055

Vestibular schwannoma

MUDr. Lenka Peterková1, MUDr. Zdeněk Fîk, Ph.D.1, prof. MUDr. Eduard Zvěřina, DrSc., FCMA1, MUDr. Aleš Vlasák, Ph.D.2, MUDr. Jan Lazák1, MUDr. Vladimír Koucký1, MUDr. Michaela Tesařová1, MUDr. Rudolf Černý, CSc.3, MUDr. Zuzana Balatková, Ph.D.1, prof. MUDr. Jan Betka, DrSc., FCMA1
1 Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN Motol, Praha
2 Neurochirurgická klinika dětí a dospělých 2. LF UK a FN Motol, Praha
3 Neurologická klinika 2. LF UK a FN Motol, Praha

Vestibular schwannoma (VS) is a benign intracranial tumor derived from myelinating Schwann cells of the vestibular division of the vestibulocochlear nerve. Vestibular schwannomas account for approximately 85 % of cerebellopontine angle tumors. It grows in the so-called transition zone of the internal auditory canal, from which it extends toward the brainstem and cerebellum. From this knowledge, the sequence of symptoms the patient develops can be deduced. The most common manifestations include unilateral hearing loss, tinnitus, and balance disorders. In most cases, VS growth is slow. The vast majority of VS (95 %) occur as sporadic tumors, with the remaining 5 % occurring as part of an inherited, autosomal dominant form of VS, mainly found in patients with neurofibromatosis type 2 (NF2).

Keywords: vestibular schwannoma, microsurgery, facial nerve, hearing, balance rehabilitation therapy.

Accepted: August 26, 2024; Published: September 10, 2024  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Peterková L, Fîk Z, Zvěřina E, Vlasák A, Lazák J, Koucký V, et al.. Vestibular schwannoma. Neurol. praxi. 2024;25(4):303-308. doi: 10.36290/neu.2024.055.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • PDF will be unlocked 10.9.2025

    References

    1. Aarnisalo AA, Suoranta H, Ylikoski J. Magnetic resonance imaging findings in the auditory pathway of patients with sudden deafness. Otol Neurotol. 2004;25(3):245-249. doi:10.1097/00129492-200405000-00008. Go to original source... Go to PubMed...
    2. Balatková Z, Čada Z, Hrubá S, et al. Assessment of visual sensation, psychiatric profile and quality of life following vestibular schwannoma surgery in patients prehabituated by chemical vestibular ablation. 2020;164(4):444-453. doi:10.5507/bp.2019.056. Go to original source... Go to PubMed...
    3. Balatková Z, Černý R, Fík Z, et al. Faktory ovlivňující vestibulární kompenzaci u pacientů po operaci vestibulárního schwannomu. Otorinolaryngologie a foniatrie. 2018;67(4):91-94.
    4. Betka J, Zvěřina E, Balogová Z, et al. Complications of microsurgery of vestibular schwannoma. Biomed Res Int. 2014;2014. doi:10.1155/2014/315952. Go to original source... Go to PubMed...
    5. Bishop C, Eby T. The current status of audiologic rehabilitation for profound unilateral sensorineural hearing loss. Laryngoscope. 2010;120(3):552-556. doi:10.1002/lary.20735. Go to original source... Go to PubMed...
    6. Bouček J, Vokřál J, Černý L, et al. Baha jako možné řešení jednostranné hluchoty. Česká a slovenská neurologie a neurochirurgie. 2016;79(3):324-330.
    7. Carlson M, Link M Vestibular Schwannomas. Ingelfinger JR, ed. New England Journal of Medicine. 2021;384(14):1335-1348. doi:10.1056/NEJMra2020394. Go to original source... Go to PubMed...
    8. Carlson M, Vivas E, McCracken D, et al. Congress of Neurological Surgeons Systematic Review and Evidence­‑Based Guidelines on Hearing Preservation Outcomes in Patients with Sporadic Vestibular Schwannomas. In: Clinical Neurosurgery. Vol 82. Oxford University Press; 2018:E35-E39. doi:10.1093/neuros/nyx511. Go to original source...
    9. Coughlin A, Hunt A, Gubbels S. Is Hearing Preserved Following Radiotherapy for Vestibular Schwannoma? Published online 2018. doi:10.1002/lary.27421. Go to original source... Go to PubMed...
    10. Drusin M, Lubor B, Losenegger T, Selesnick S. Trends in Hearing Rehabilitation Use Among Vestibular Schwannoma Patients. Published online 2019. doi:10.1002/lary.28316. Go to original source... Go to PubMed...
    11. Erickson N, Schmalz P, Agee B, et al. Koos Classification of Vestibular Schwannomas: A Reliability Study. Clin Neurosurg. 2019;85(3):409-414. doi:10.1093/neuros/nyy409. Go to original source... Go to PubMed...
    12. Fík Z, Chovanec M, Zvěřina E, et al. Funkce lícního nervu po mikrochirurgické léčbě vestibulárního schwannomu. Česká a Slovenská Neurologie a Neurochirurgie. 2017;80(5):545-551. doi:10.14735/amcsnn2017545. Go to original source...
    13. Fík Z, Vlasák A, Zvěřina E, et al. Which Epidemiological Characteristics Drive Decision Making in the Management of Patients with Vestibular Schwannoma? Biomedicines. 2023;11(2):340. Published 2023 Jan 25. doi:10.3390/biomedicines11020340. Go to original source... Go to PubMed...
    14. Flasar J, Volk G, Granitzka T, et al. Quantitative facial electromyography monitoring after hypoglossal­‑facial jump nerve suture. Laryngoscope Investig Otolaryngol. 2017;2(5):325-330. doi:10.1002/lio2. 95. Go to original source...
    15. Goldbrunner R, Weller M, Regis J, et al. Eano guideline on the diagnosis and treatment of vestibular schwannoma. Neuro Oncol. 2020;22(1):31-45. doi:10.1093/neuonc/noz153. Go to original source... Go to PubMed...
    16. Hunter J, Francis D, O'Connell B, et al. Single Institutional experience with observing 564 vestibular schwannomas: Factors associated with tumor growth. Otology and Neurotology. 2016;37(10):1630-1636. doi:10.1097/MAO.0000000000001219. Go to original source... Go to PubMed...
    17. Johnson S, Kano H, Faramand A, et al. Long term results of primary radiosurgery for vestibular schwannomas. J Neurooncol. 2019;145(2):247-255. doi:10.1007/s11060-019-03290-0. Go to original source... Go to PubMed...
    18. Kanzaki J, Tos M, Sanna M, New and modified reporting systems from the consensus meeting on systems for reporting results in vestibular schwannoma. Otol Neurotol. 2003;24(4):642-649. doi:10.1097/00129492-200307000-00019. Go to original source... Go to PubMed...
    19. Kim G, Hullar T, Seo J. Comparison of balance outcomes according to treatment modality of vestibular schwannoma. Laryngoscope. 2020;130(1):178-189. doi:10.1002/lary.27830. Go to original source... Go to PubMed...
    20. Kim J, Cho Y. Growth of vestibular schwannoma: long­‑term follow­‑up study using survival analysis. Acta Neurochir (Wien). 2021;163(8):2237-2245. doi:10.1007/s00701-021-04870-8. Go to original source... Go to PubMed...
    21. Koors P, Thacker L, Coelho D. ABR in the diagnosis of vestibular schwannomas: A meta­‑analysis. American Journal of Otolaryngology - Head and Neck Medicine and Surgery. 2013;34(3):195-204. doi:10.1016/j.amjoto.2012. 11. 011. Go to original source...
    22. Marinelli J, Grossardt B, Lohse C, Carlson M. Prevalence of Sporadic Vestibular Schwannoma: Reconciling Temporal Bone, Radiologic, and Population­‑based Studies. Otology & Neurotology. 2019;40(3):384-390. doi:10.1097/MAO.0000000000002110. Go to original source... Go to PubMed...
    23. Profant O, Bureš Z, Balogová Z, et al. Decision making on vestibular schwannoma treatment: predictions based on machine­‑learning analysis. Sci Rep. 2021;11(1). doi:10.1038/s41598-021-97819-x. Go to original source... Go to PubMed...
    24. Reznitsky M, Babiel M, Petersen S, et al. The natural history of vestibular schwannoma growth­‑prospective 40-year data from an unselected national cohort. Neuro Oncol. 2021;23(5):827-836. doi:10.1093/neuonc/noaa230. Go to original source... Go to PubMed...
    25. Rosahl S, Bohr C, Lell M, Hamm K, Iro H. Diagnostics and therapy of vestibular schwannomas - an interdisciplinary challenge. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2017;16:Doc03. doi:10.3205/cto000142. Go to original source... Go to PubMed...
    26. Scholte M, Hentschel MA, Kunst HP, Steens SCA, Rovers MM, Grutters JPC. Potential savings in the diagnosis of vestibular schwannoma. Published online 2017. doi:10.1111/coa.12973. Go to original source...
    27. Sun MZ, Oh MC, Safaee M, et al. Neuroanatomical correlation of the house­‑brackmann gading system in the microsurgical treatment of vestibular schwannoma. Neurosurg Focus. 2012;33(3). doi:10.3171/2012. 6. FOCUS12198. Go to original source...
    28. Volk GF, Pantel M, Guntinas­‑Lichius O. Modern concepts in facial nerve reconstruction. Head Face Med. 2010;6(1). doi:10.1186/1746-160X-6-25. Go to original source... Go to PubMed...
    29. Wong K, Kozin ED, Kanumuri V, et al. Auditory brainstem implants: Recent progress and future perspectives. Front Neurosci. 2019;13(JAN). doi:10.3389/fnins.2019.00010. Go to original source... Go to PubMed...
    30. Yang I, Sughrue ME, Han SJ, et al. Facial nerve preservation after vestibular schwannoma Gamma Knife radiosurgery. J Neurooncol. 2009;93(1):41-48. doi:10.1007/s11060-009-9842- Go to original source...

    Return to the content


    Neurology for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.