Abstract
Vestibular schwannomas (VS) mainly arise from either the superior (SVN) or the inferior vestibular nerve (IVN). Preoperative vestibular testing in patients affected by VS can be useful to predict which one of the vestibular nerves the tumor arises from. The relevance of identifying the nerve of origin lies in its prognostic factor for hearing preservation after surgery, with tumors arising from the (SVN) having a much higher hearing preservation rate. Diverse studies in the literature have tested the correlation between abnormal vestibular testing results and the nerve of origin of VSs; the techniques experimented in such context are posturography, vestibular evoked myogenic potentials (VEMPs), caloric test (always in combination with VEMPs), and video head impulse test (vHIT). vHIT has yielded promising results, with a positive predictive value ranging from 89.5 to 100%, so that the pattern of semicircular canal dysfunction on vHIT has been proposed to have a localizing value to identify the nerve of origin in VSs.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Borgmann H, Lenarz T, Lenarz M. Preoperative prediction of vestibular schwannoma’s nerve of origin with posturography and electronystagmography. Acta Otolaryngol. 2011;131(5):498–503.
Brackmann DE, Owens RM, Friedman RA, Hitselberger WE, De la Cruz A, House JW, et al. Prognostic factors for hearing preservation in vestibular schwannoma surgery. Am J Otol. 2000;21(3):417–24.
Cohen NL, Lewis WS, Ransohoff J. Hearing preservation in cerebellopontine angle tumor surgery: the NYU experience 1974-1991. Am J Otol. 1993;14(5):423–33.
He YB, Yu CJ, Ji HM, Qu YM, Chen N. Significance of vestibular testing on distinguishing the nerve of origin for vestibular schwannoma and predicting the preservation of hearing. Chin Med J (Engl). 2016;129(7):799–803.
Jacob A, Robinson LL, Bortman JS, Yu L, Dodson EE, Welling DB. Nerve of origin, tumor size, hearing preservation, and facial nerve outcomes in 359 vestibular schwannoma resections at a tertiary care academic center. Laryngoscope. 2007;117(12):2087–92.
Gouveris H, Akkafa S, Lippold R, Mann W. Influence of nerve of origin and tumor size of vestibular schwannoma on dynamic posturography findings. Acta Otolaryngol. 2006;126(12):1281–5.
Suzuki M, Yamada C, Inoue R, Kashio A, Saito Y, Nakanishi W. Analysis of vestibular testing in patients with vestibular schwannoma based on the nerve of origin, the localization, and the size of the tumor. Otol Neurotol. 2008;29(7):1029–33.
Tsutsumi T, Tsunoda A, Noguchi Y, Komatsuzaki A. Prediction of the nerves of origin of vestibular schwannomas with vestibular evoked myogenic potentials. Am J Otol. 2000;21(5):712–5.
Ushio M, Iwasaki S, Chihara Y, Kawahara N, Morita A, Saito N, et al. Is the nerve origin of the vestibular schwannoma correlated with vestibular evoked myogenic potential, caloric test, and auditory brainstem response? Acta Otolaryngol. 2009;129(10):1095–100.
Chen CW, Young YH, Tseng HM. Preoperative versus postoperative role of vestibular-evoked myogenic potentials in cerebellopontine angle tumor. Laryngoscope. 2002;112(2):267–71.
Constanzo F, Sens P, Teixeira BC de A, Ramina R. Video head impulse test to preoperatively identify the nerve of origin of vestibular schwannomas. Oper Neurosurg. 2018. https://doi.org/10.1093/ons/opy103.
Rahne T, Plößl S, Plontke SK, Strauss C. Preoperative determination of nerve of origin in patients with vestibular schwannoma. German version. HNO. 2017;65(12):966–72.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Campione, A., Cacciotti, G., Roperto, R., Giacobbo Scavo, C., Mastronardi, L. (2019). Vestibular Testing to Predict the Nerve of Origin of Vestibular Schwannomas. In: Mastronardi, L., Fukushima, T., Campione, A. (eds) Advances in Vestibular Schwannoma Microneurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-03167-1_19
Download citation
DOI: https://doi.org/10.1007/978-3-030-03167-1_19
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-03166-4
Online ISBN: 978-3-030-03167-1
eBook Packages: MedicineMedicine (R0)