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Case Reports
Magnetic resonance imaging: is a single scan ever enough for the diagnosis of acoustic neuroma?
- M D Kernohan, K J Blackmore, I J M Johnson, and I Zammit-Maempel.
- Department of Plastic and Reconstructive Surgery, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK. mdkernohan@ukgateway.net
- J Laryngol Otol. 2006 Dec 1;120(12):1061-3.
AbstractA patient presented with unilateral, right-sided hearing loss and tinnitus and underwent gadolinium-enhanced magnetic resonance imaging (MRI). A pure tone audiogram showed a right-sided sensorineural hearing loss. The MRI scan was initially negative but when repeated seven years later, following a further deterioration of symptoms, it showed a 2 mm, right-sided acoustic neuroma. This case has great potential significance for the diagnosis of acoustic neuroma, and it may raise medico-legal issues regarding the exclusion of this diagnosis. The case illustrates that a single negative scan may not be adequate if pure tone audiograms show deterioration in hearing loss.
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