Atypical haemangioma of the internal auditory meatus: a case report
Haemangiomas involving the internal auditory meatus (IAM) are rare and can mimic other frequent lesions of the IAM such as schwannomas by their clinical and imaging aspects. The case of a patient with an atypical IAM haemangioma fluctuating in size is reported to highlight this diagnostic possibilit...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2006-07, Vol.263 (7), p.627-631 |
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| container_title | European archives of oto-rhino-laryngology |
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| creator | Refass, Afaf Bozorg Grayeli, Alexis Bouccara, Didier Ismail, Mustapha Cyna-Gorse, Francoise Cazals-Hatem, Dominique Sterkers, Olivier |
| description | Haemangiomas involving the internal auditory meatus (IAM) are rare and can mimic other frequent lesions of the IAM such as schwannomas by their clinical and imaging aspects. The case of a patient with an atypical IAM haemangioma fluctuating in size is reported to highlight this diagnostic possibility. A 36-year-old female presented with a sudden and recurrent left sensorineural hearing loss (SNHL). Three consecutive MRIs were performed in a 10-month period of preoperative observation. They showed a fluctuation of the tumour signal and size. The surgical removal was performed via a translabyrinthine approach. Pathological findings were consistent with the diagnosis of a heamangioma. MRI and CT findings suggested the diagnosis of IAM heamangioma, but the rapid variation in size and signal was misleading. This phenomenon may be due to haemorrhage or oedema, and can be accompanied by a deterioration of the hearing function. Early surgical resection is the treatment of choice and allows to confirm the diagnosis. |
| doi_str_mv | 10.1007/s00405-006-0035-9 |
| format | Article |
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The case of a patient with an atypical IAM haemangioma fluctuating in size is reported to highlight this diagnostic possibility. A 36-year-old female presented with a sudden and recurrent left sensorineural hearing loss (SNHL). Three consecutive MRIs were performed in a 10-month period of preoperative observation. They showed a fluctuation of the tumour signal and size. The surgical removal was performed via a translabyrinthine approach. Pathological findings were consistent with the diagnosis of a heamangioma. MRI and CT findings suggested the diagnosis of IAM heamangioma, but the rapid variation in size and signal was misleading. This phenomenon may be due to haemorrhage or oedema, and can be accompanied by a deterioration of the hearing function. 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The case of a patient with an atypical IAM haemangioma fluctuating in size is reported to highlight this diagnostic possibility. A 36-year-old female presented with a sudden and recurrent left sensorineural hearing loss (SNHL). Three consecutive MRIs were performed in a 10-month period of preoperative observation. They showed a fluctuation of the tumour signal and size. The surgical removal was performed via a translabyrinthine approach. Pathological findings were consistent with the diagnosis of a heamangioma. MRI and CT findings suggested the diagnosis of IAM heamangioma, but the rapid variation in size and signal was misleading. This phenomenon may be due to haemorrhage or oedema, and can be accompanied by a deterioration of the hearing function. 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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Audiometry, Pure-Tone Auditory Threshold Ear Neoplasms - complications Ear Neoplasms - diagnosis Ear Neoplasms - surgery Ear, Inner - pathology Ear, Inner - surgery Female Hearing Loss, Sensorineural - etiology Hearing Loss, Sudden - etiology Hemangioma - complications Hemangioma - diagnosis Hemangioma - surgery Humans Magnetic Resonance Imaging Tomography, X-Ray Computed |
| title | Atypical haemangioma of the internal auditory meatus: a case report |
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