caa a22 4500 606185720 CHVBK 20210128100833.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00405-014-2885-x doi (NATIONALLICENCE)springer-10.1007/s00405-014-2885-x The clinical characteristics and treatment for sudden sensorineural hearing loss with vestibular schwannoma [Elektronische Daten] [Chang Lin, Qilin Gong, Wenjing Zuo, Rong Zhang, Aidong Zhou] The aim of this study is to analyze the clinical characteristics and treatment of sudden sensorineural hearing loss (SSNHL) patients with vestibular schwannoma (VS). The clinical features of the VS patients were explored by retrospectively analyzing the clinical data from 542 cases of SSNHL patients between January 2008 and March 2013. There were 10 cases (10 ears) diagnosed with VS in 542 cases of SSNHL patients (10 ears, 1.85%), 3 males, 7 females, with a range of 28-57years. Among all the cases, eight patients with abnormal ABR, ten with ear ipsilateral stapedius reflexes which were completely not elicited and seven patients with healthy ear contralateral stapedius reflexes which were completely not elicited. Neuromas were classified by Koos grades according to size (8 of grade I, 1 of grade II, 1 of grade IV). Eight small VS patients were taken waiting and MRI therapy strategies. Meanwhile, we used glucocorticoid treatment and timely and short-term medication to improve the microcirculation of the inner ear for these patients. And four cases' hearing was improved. Some vestibular schwannomas have SSNHL as initial symptoms, especially the small ones in internal auditory canal. To prevent misdiagnosis or leak-diagnosis, MRI should be performed as a routine test for SSNHL, and ABR is sometimes necessary for SSNHL patients. It is also necessary to give appropriate treatment to protect hearing of the small vestibular schwannoma patients whose first symptoms are diagnosed as SSNHL in acute phase. Springer-Verlag Berlin Heidelberg, 2014 Vestibular schwannoma nationallicence Sudden hearing loss nationallicence Auditory brainstem response nationallicence Magnetic resonance imaging nationallicence Lin Chang Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China aut Gong Qilin Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China aut Zuo Wenjing Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China aut Zhang Rong Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China aut Zhou Aidong Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 839-842 0937-4477 272:4<839 2015 272 405 https://doi.org/10.1007/s00405-014-2885-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-2885-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lin Chang Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China aut NATIONALLICENCE 700 1- Gong Qilin Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China aut NATIONALLICENCE 700 1- Zuo Wenjing Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China aut NATIONALLICENCE 700 1- Zhang Rong Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China aut NATIONALLICENCE 700 1- Zhou Aidong Department of Otorhinolaryngology-Head and Neck Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 839-842 0937-4477 272:4<839 2015 272 405