OTONEUROLOGICAL EVALUATION OF CEREBELLAR VERMIAN TUMORS

  • NISHIMURA HIDEO
    Department of Otolaryngology, Kyoto Prefectural University of AYedicine
  • TOYODA YAHACHIRO
    Department of Otolaryngology, Kyoto Prefectural University of AYedicine
  • TACHIBANA MASAYOSHI
    Department of Otolaryngology, Kyoto Prefectural University of AYedicine
  • NAKAMA KAZUO
    Department of Otolaryngology, Kyoto Prefectural University of AYedicine
  • TAKENAKA HIROSHI
    Department of Otolaryngology, Kyoto Prefectural University of AYedicine
  • TAKADA AKIRA
    Department of Otolaryngology, Kyoto Prefectural University of AYedicine
  • OTAKE GENYA
    Department of Neurosurgerv, Kyoto Prefectural University of illeclicine

Bibliographic Information

Other Title
  • 小脳虫部腫瘍の神経耳科学的観察
  • ショウノウ チュウブ シュヨウ ノ シンケイ ジカガクテキ カンサツ

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Abstract

The early clinical diagnosis of cerebellar vermian tumor is sometimes difficult, because the initial symptoms are often insidious and the objective findings are scanty at its early stage. Reported herein are 3 cases of cerebellar vermian tumors that were successfully diagnosed with the aid of otoneurological examination and the local diagnosis was affirmed by the operations.<br>In these cases, vertical or symmetrical horizontal nystagmus was often observed. However, nystagmus was hardly detected with u very localized lesion in the vermis. Asymmetrical extention of the primary lesion to the adjacent areas of the cerebellar hemisphere or the brainstem could also be diagnosed by otoneurological tests.<br>It was concluded from the experience about these 3 cases that the otoneurological exami-nation was very helpful for early diagnosis and local diagnosis of the adjacent invaded area of cerebellar midline tumor.

Journal

  • Nippon Jibiinkoka Gakkai Kaiho

    Nippon Jibiinkoka Gakkai Kaiho 80 (11), 1403-1408, 1977

    Japanese Society of Otorhinolaryngology-Head and neck surgery

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