A case with posterior fossa epidermoid cyst showing audiovestibular symptoms caused by insufficiency of anterior inferior cerebellar artery - usefulness of free DICOM image viewing and processing software.

A 58-year-old Japanese man suddenly suffered from vertigo. On physical examination, left-beating horizontal torsional spontaneous nystagmus was observed; the direction did not change with gaze. Other neurotological examinations revealed findings within normal limits except the left side sensorineura...

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Publicado en:Acta Oto-Laryngologica (Supplement) Vol. 129; pp. 53 - 57
Autores principales: Takasaki K, Kumagami H, Baba A, Fujiyama D, Takahashi H
Formato: case study diagnostic images pictorial Journal Article
Publicado: Taylor & Francis Ltd 2009 Aug Supplement 562
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2009 Aug Supplement 562
      vid: 129
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      pub: Taylor & Francis Ltd
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        atl: A case with posterior fossa epidermoid cyst showing audiovestibular symptoms caused by insufficiency of anterior inferior cerebellar artery - usefulness of free DICOM image viewing and processing software.
      aug:
        au:
          Takasaki K
          Kumagami H
          Baba A
          Fujiyama D
          Takahashi H
        affil: Department of Otolaryngology - Head and Neck Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
      sug:
        subj:
          Hearing Loss, Sensorineural
          Neurologic Examination
          Vertigo
          Audiometry, Pure-Tone
          Cysts
          DICOM
          Digital Imaging
          Hypertension Complications
          Image Processing, Computer Assisted
          Japanese Persons
          Magnetic Resonance Imaging
          Male
          Middle Age
          Vestibular Function Tests
          Middle Aged: 45-64 years
          Male
      ab: A 58-year-old Japanese man suddenly suffered from vertigo. On physical examination, left-beating horizontal torsional spontaneous nystagmus was observed; the direction did not change with gaze. Other neurotological examinations revealed findings within normal limits except the left side sensorineural hearing loss of approximately 32 dB on average. Diffusion-weighted MRI revealed no infarction in the brain, but demonstrated an epidermoid cyst in the left cerebello-pontine cistern region. Using free digital imaging and communications in medicine (DICOM) image viewing and processing software, it was found that the epidermoid cyst clearly compressed the left anterior inferior cerebellar artery (AICA). Therefore, we speculated that insufficiency of the left AICA caused his audiovestibular symptoms. This new technique used in the present study was considered useful when the site responsible for vertigo is suspected in the cerebello-pontine angle, where anatomic relationships between the nerves and the vessels are complicated.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
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