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MRI is the most effective imaging tool for diagnosing cerebellopontine angle tumors, although CT is also useful for evaluating bone changes and detecting calcification. Regarding MRI, it is recommended to efficiently use MR cisternography, a small imaging field of view, and a thin slice thickness. The most common tumor type is acoustic schwannoma, followed by meningioma, trigeminal, facial nerve, jugular foramen schwannoma, paraganglioma, and others. Many of these tumor types can be effectively differentiated by combining various CT and MRI techniques, as stated above, as well as MRA, perfusion imaging, MR digital subtraction angiography, MR spectroscopy, and bone imaging. This article discusses the key MRI and CT findings of major cerebellopontine angle tumors, as well as some representative cases and the corresponding differential diagnoses.
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http://dx.doi.org/10.11477/mf.030126030530040618 | DOI Listing |
Otolaryngol Head Neck Surg
September 2025
Department of Otolaryngology-Head and Neck Surgery, University of California, San Diego, La Jolla, California, USA.
Objective: To summarize the outcomes of 1000 consecutive microsurgical resection of cerebellopontine angle tumors.
Study Design: Retrospective cohort study.
Setting: Single tertiary care institution.
Neurol Med Chir (Tokyo)
September 2025
Department of Neurosurgery, Tokyo Medical University.
Adhesive materials are widely used in microvascular decompression for treating neurovascular compression syndromes. They play an important role in the critical step of vessel fixation. Recently, completely autologous fibrin glue produced solely from a patient's own plasma was developed.
View Article and Find Full Text PDFFront Oncol
August 2025
Unidad de Neurología y Neurocirugía, Hospital General de México, Mexico City, Mexico.
Vestibular Schwannomas are frequent tumors of the cerebellopontine angle, classically presenting with cochlear and facial nerve alteration. They tend to have histopathological and intratumoral degeneration seen on MRI, and can cause CSF obstruction with hydrocephalus with subsequent visual loss. We present a case of bilateral visual loss from papilledema, with no history of hydrocephalus or increased intracranial pressure.
View Article and Find Full Text PDFFront Neurol
August 2025
The Eaton-Peabody Laboratories, The Massachusetts Eye and Ear Department of Otolaryngology - Head and Neck Surgery, Boston, MA, United States.
Sensorineural hearing loss (SNHL) is a hallmark symptom in patients with neurofibromatosis type 2-associated schwannomatosis (NF2-SWN), a genetic condition caused by mutations in the Neurofibromin II gene that encodes the tumor suppressor protein Moesin-Ezrin-Radixin-Like Protein (Merlin; also known as schwannomin). These mutations lead to the development of various tumors, including schwannomas, ependymomas and meningiomas along the vestibular nerve and the cerebellopontine angle. Original theories attributed SNHL in NF2-SWN to the mechanical compression of the vestibulocochlear nerve from the tumor itself, in addition to secretion of toxic tumor byproducts.
View Article and Find Full Text PDFJ Neurol Surg B Skull Base
October 2025
Department of Otolaryngology-Head and Neck Surgery, NYU Langone Health, New York, New York, United States.
Objectives: To characterize treatment and hearing outcomes for cerebellopontine angle (CPA) meningiomas with inherent risks of hearing loss and identify predictors of hearing loss for surgically treated lesions.
Design: Retrospective chart review.
Setting: Tertiary care medical center.