Preoperative identification of patients at risk of developing persistent dysequilibrium after acoustic neuroma removal.
Am J Otol
; 19(4): 491-5, 1998 Jul.
Article
en En
| MEDLINE
| ID: mdl-9661760
ABSTRACT
OBJECTIVE:
This study aimed to identify preoperative signs or symptoms that correlate with poor postoperative vestibular compensation after acoustic neuroma removal. STUDYDESIGN:
The study design was a retrospective chart review.SETTING:
The study was conducted at a tertiary care center. PATIENTS A total of 210 patients who had acoustic neuromas removed via the retrosigmoid approach from January 1, 1990, to July 1, 1995, participated. MAIN OUTCOMEMEASURES:
Persistent dysequilibrium for > 3 months after surgery was measured.RESULTS:
Age (p = 0.002), gender (p = 0.007), presence of preoperative dysequilibrium (p = 0.005), duration of preoperative dysequilibrium > 3.5 months (p = 0.003), and central findings on electronystagmography ( p < 0.001) were related to poor outcome.CONCLUSIONS:
The authors found 31% of patients to have dysequilibrium lasting > 3 months after surgical removal of an acoustic neuroma. Age > 55.5 years, female gender, constant preoperative dysequilibrium present for > 3.5 months, and central findings on electronystagmography were associated with a worse outcome.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Cuidados Preoperatorios
/
Vértigo
/
Neuroma Acústico
/
Neoplasias de los Nervios Craneales
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am J Otol
Año:
1998
Tipo del documento:
Article
País de afiliación:
Estados Unidos