Asymmetric sensorineural hearing loss in the diagnosis of vestibular schwannoma

Hipoacusia sensorineural asimétrica en el diagnóstico de schwannoma vestibular

Published 2022-02-05

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Vol. 4 No. 1 (2022)
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Reflection article
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Asymmetric sensorineural hearing loss in the diagnosis of vestibular schwannoma. Rev. Investig. Innov. Cienc. Salud [Internet]. 2022 Feb. 5 [cited 2024 Nov. 23];4(1):109-24. Available from: https://riics.info/index.php/RCMC/article/view/61
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https://doi.org/10.46634/riics.61
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Heloisa Coutinho de Toledo
Otoneurología; Hospital Médica Sur; Ciudad de México; México.
    https://orcid.org/0000-0002-7435-7446
    Erika Celis-Aguilar
    Otolaryngology and Neurotology Department; Center of Research and Teaching in the Health Sciences; Culiacan Civil Hospital; Autonomous University of Sinaloa; Culiacan; Mexico.
      https://orcid.org/0000-0003-2210-7637
      Show authors biography

      Background:  It is described that 2% of patients with asymmetric hearing loss have retrocochlear lesions. The scrutiny behavior has been based on audiometry. There are several definitions of audiometric asymmetry described in the literature, but without reaching a consensus. Although the gold standard for the diagnosis of vestibular schwannoma is gadolinium magnetic resonance imaging, the clinical suspicion is based on audiometric asymmetry.

      Objective: we review the results published in this regard in the literature and comment on our own experience.

      Reflection: we want to emphasize the importance of studying asymmetric hearing loss patients in order to rule out retrocochlear etiology.

      Conclusions: although there is no clear consensus on the definition of asymmetric hearing loss, the clinical suspicion of a vestibular schwannoma is based on the audiometry.

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