Hearing Restoration From Deafness After Resection of a Large Cerebellopontine Angle Meningioma Case Report

• Published in: Neurologia medico-chirurgica Vol. 41; no. 7; pp. 352 - 355
• Main Authors: KATSUTA, Toshiro, INOUE, Tooru, UDA, Ken, MASUDA, Akinori
• Format: Journal Article
• Language: English
• Published: Japan The Japan Neurosurgical Society 01.01.2001
• Subjects: Audiometry, Pure-Tone; Cerebellar Neoplasms - diagnosis; Cerebellar Neoplasms - surgery; cerebellopontine angle; Cerebellopontine Angle - surgery; Deafness - diagnosis; Deafness - surgery; Follow-Up Studies; hearing preservation; hearing restoration; Humans; jugular foramen; Male; Meningeal Neoplasms - diagnosis; Meningeal Neoplasms - surgery; meningioma; Meningioma - diagnosis; Meningioma - surgery; Middle Aged; Postoperative Complications - diagnosis
• ISSN: 0470-8105; 1349-8029
• DOI: 10.2176/nmc.41.352

A 61-year-old man presented with a large cerebellopontine angle meningioma manifesting as a 1-year history of deafness on the right side, in whom hearing was restored from the deaf state immediately after tumor resection. Neuroimaging demonstrated a large mass in the right cerebellopontine angle, originating at the region adjacent to the jugular foramen. Audiometry showed his hearing was off-scale (>105 dB) on the right. The tumor was successfully removed through the retrosigmoid approach, and the integrity of the 7th and 8th cranial nerves was maintained. The patient regained hearing on the day after the operation, which continued to improve until near-normal. The 8th cranial nerve function may recover dramatically after removal of non-acoustic tumors, even if preoperative hearing loss is profound. To maximize the opportunity to regain hearing, approaches which devastate cochlear function should be avoided and more meticulous manipulation during tumor removal is needed.