Arachnoid Cyst of Internal Auditory Canal: how the Temporal Bone Findings Explain Ear Symptoms and Suggest the Best Treatment to do
DOI:
https://doi.org/10.17140/OTLOJ-2-128Keywords:
Arachnoid cyst, Internal auditory canal, Temporal bones study, Schwannoma of internal auditory canal, Cystic schwannoma, MRI findings, Surgery of internal auditory canalAbstract
Objective: Aim of this short review is to identify relevant findings in clinical and surgical treatment studying arachnoid cyst of internal auditory canal.
Study design: Retrospective study of relevant papers in literature.
Methods: PubMed and Google Scholar searches using the following keywords: arachnoid cyst, internal auditory canal, temporal bones study, schwannoma of internal auditory canal, cystic schwannoma, MRI findings, surgery of internal auditory canal. Only the article where three keywords, included always arachnoid cyst, were considered. The study analyzed the etiopatho-genesis of arachnoid cyst, hearing and vestibular symptoms and temporal bone findings.
Review and conclusion: The author identified and reviewed a total of 46 articles. The results showed high incidence of hearing loss that was the more common symptom than vestibular one. Arachnoid cyst carried out more compression on the vestibular nerves than on the cochlear one. The review allowed us to identify which mechanism of damage arachnoid cyst acting on the nerves. It is necessary to consider the arachnoids cyst in differential diagnosis with tumors and pathologies involving the internal auditory canal.
References
Sumner TE, Benton C, Marshak G. Arachnoid cyst of the inter-nal auditory canal producing facial paralysis in a three-year-old child. Radiology. 1975; 114(2): 425-426. doi: 10.1148/114.2.425
Thijssen HO, Marres EH, Slooff JL. Arachnoid cyst simulat-ing intrameatal acoustic neuroma. Neuroradiology. 1976; 11(4): 205-207. doi: 10.1007/BF00346080
Schuknecht HF, Gao YZ. Arachnoid cyst in the internal audi-tory canal. Ann Otol Rhinol Laryngol. 1983; 92(6 Pt 1): 535- 541. doi: 10.1177/000348948309200601
Huang JH, Mei WZ, Chen Y, Chen JW, Lin ZX. Analysis on clinical characteristics of intracranial Arachnoid Cysts in 488 pediatric cases. Int J Clin Exp Med. 2015; 8(10): 18343-18350.
Thakar S, Furtado SV, Hegde AS. Arachnoid cyst in the inter-nal auditory canal causing fluctuating facial paresis in a child. Childs Nerv Syst. 2011; 27(7): 1177-1179. doi: 10.1007/s00381- 011-1458-1
Zhang Q, Kaga K, Sano M, Takegoshi H. Arachnoid cysts confined to the internal auditory canal or facial nerve ca-nal. J Laryngol Otol. 2011; 125(10): 1053-1058. doi: 10.1017/ S0022215111001745
Francis HW, Nager GT, Holliday MJ, Long DM. Association of heterotopic neuroglial tissue with an arachnoid cyst in the internal auditory canal. Skull Base Surg. 1995; 5(1): 37-49. doi: 10.1055/s-2008-1058949
Zulch KJ. Brain Tumors: Their Biology and Pathology. 3rd ed Berlin, Germany: Springer Verlag; 1986
Burger PC, Scheithauer BW, Vogel FS. Surgical Pathology of the Nervous System and its Coverings. 3rd ed. New York, USA; Churchill Livingstone; 2002.
Horrax G. Generalized cisternalarachnoiditis simulating cerebellar tumor: Its surgical treatment and end results. Arch surg. 1924; 9(1): 95-112. doi: 10.1001/archsurg.1924.01120070 098004
Russel D, Rubinstein LJ. Pathology of Tumors of the Ner-vous System. 5th ed. Baltimore, MD, USA; William and Wilkins; 1989.
Matsuda M, Hirai O, Munemitsu H, Kawamura J, Matsub-ayashi K. Arachnoid cysts--report of two adult cases in the in-terhemispheric fissure and over the cerebral convexity. Neurol Med Chir (Tokyo). 1982; 22(1): 71-76. doi: 10.2176/nmc.22.71
Rengachary SS, Watanabe I. Ultrastructure and pathogenesis of intracranial arachnoid cysts. J Neuropathol Exp Neurol. 1981; 40(1): 61-83. doi: 10.1097/00005072-198140010-00007
Go KG, Houthoff HJ, Blaauw EH, Stokroos I, Blaauw G. Morphology and origin of arachnoid cysts. Scanning and transmission electron microscopy of three cases. Acta Neuro-pathol. 1978; 44(1): 57-62. doi: 10.1007/BF00691640
Harenberg C, Helms J. Arachnoid cysts in the internal ear canal and facial canal (Fallopius). Laryngol Rhinol Otol (Stuttg). 1986; 65(2): 83-85. Web site. http://europepmc.org/ab-stract/med/3959691 Accessed August 21, 2016.
Takano S, Maruno T, Shirai S, Nose T. Facial spasm and par-oxysmal tinnitus associated with an arachnoid cyst of the cere-bellopontine angle--case report. Neurol Med Chir (Tokyo). 1998; 38(2): 100-103. doi: 10.2176/nmc.38.100
Aubry K, Wassef M, Guichard JP, Herman P, Tran Ba Huy P. Association of an arachnoid cyst with heterotopic neuroglial tis-sue in the internal auditory canal. Ann Otolaryngol Chir Cervi-cofac. 2009; 126(3): 133-137. doi: 10.1016/j.aorl.2009.03.001
Mastronardi L, Taniguchi R, Caroli M, Crispo F, Ferrante L, Fukushima T. Cerebellopontine angle arachnoid cyst: A case of hemifacial spasm caused by an organic lesion other than neurovascular compression: Case report. Neurosurgery. 2009; 65(6): E1205. doi: 10.1227/01.NEU.0000360155.18123.D1
Fleck SK, Baldauf J, Langner S, Vogelgesang S, Schroeder S, Werner H. Arachnoid cyst confined to the internal auditory ca-nal-endoscope-assisted resection: Case report and review of the literature. Neurosurgery. 2011; 68(1): E267-E270. doi: 10.1227/ NEU.0b013e3181ff1fb7
Erkoc MF, Imamoglu H, Okur A, Gumus C, Dogan M. Nor-mative size evaluation of internal auditory canal with magnetic resonance imaging: Review of 3786 patients. Folia Morphol (Warsz). 2012; 71(4): 217-220.
Dähnert W. Radiology Review Manual. Philadelphia, PA, USA: Lippincott Williams & Wilkins; 2003.
Morantz RA, Walsh JW. Brain Tumors: A Comprehensive Text. Zug, Switzerland: Informa HealthCare; 1994.
Mulkens TH, Parizel PM, Martin JJ, et al. Acoustic schwan-noma: MR findings in 84 tumors. AJR Am J Roentgenol. 1993; 160(2): 395-398. doi: 10.2214/ajr.160.2.8424360
Tali ET, Yuh WT, Nguyen HD, et al. Cystic acoustic schwannomas: MR characteristics. AJNR Am J Neuroradiol. 1993; 14(5): 1241-1247. Web site. http://www.ajnr.org/con-tent/14/5/1241.short. Accessed August 21, 2016.
Duan H, Kitazawa K, Yako T, Ichinose S, Kobayashi S, Sudo M. Gliosarcoma in the cerebellopontine angle with rapid tumor growth and intratumoral hemorrhage. World Neurosurg. 2016; 92: e17-e21. doi: 10.1016/j.wneu.2016.06.053
Ben Nsir A, Badri M, Kassar AZ, Hammouda KB, Jemel H. Hemangiopericytoma of the cerebellopontine angle: A wolf in Sheep’s clothing. Brain Tumor Res Treat. 2016; 4(1): 8-12. doi: 10.14791/btrt.2016.4.1.8
Hooten KG, Oliveria SF, Sadrameli SS, Gandhi S, Yachnis AT, Lewis SB. Bilateral internal auditory canal gangliogliomas mimicking neurofibromatosis Type II. Surg Neurol Int. 2016; 7: 39. doi: 10.4103/2152-7806.180300
Bigelow DC, Eisen MD, Smith PG, et al. Lipomas of the internal auditory canal and cerebellopontine angle. Laryn-goscope. 1998; 108(10): 1459-1469. doi: 10.1097/00005537- 199810000-00008
Reimann K, Arnold H, Bisdas S, et al. Cavernous angio-myoma of the internal auditory canal. Otol Neurotol. 2015. doi: 10.1097/MAO.000000000000094
Lavinsky J, Aaron KA, Christian E, et al. Solitary Plasmacy-toma in the Internal Auditory Canal and Cerebellopontine Angle Mimicking Meningioma. Otol Neurotol. 2015. doi: 10.1097/ MAO.0000000000000859
Jada AS, Shrivastava RK, Mannan A, Kobets A, Manolidis S. Rare Presentation of Giant Cell Tumor in the Internal Audi-tory Canal: Case Report and Review of the Literature. J Neurol Surg Rep. 2015; 76(1): e65-e71. doi: 10.1055/s-0034-1396656
Yamaguchi T, Oka H, Kijima C, Sano H, Watanabe H, Oka-moto M. A case of atypical teratoid/rhabdoid tumor in the inter-nal auditory canal. Auris Nasus Larynx. 2015; 42(2): 163-166. doi: 10.1016/j.anl.2014.09.005
Kitavi W, Hamberger U, Sudhoff H. Perineural spread of salivary duct carcinoma to the internal auditory canal. Case Rep Otolaryngol. 2014; 2014: 476317. doi: 10.1155/2014/476317
Lalwani AK, Jackler RK. Preoperative differentiation be-tween meningioma of the cerebellopontine angle and acous-tic neuroma using MRI. Otolaryngol Head Neck Surg. 1993; 109(1): 88-95.
Spatola G, Carron R, Delsanti C, Thomassin JM, Roche PH, Régis J. Long-term results of Gamma-knife stereotac-tic radiosurgery for vestibular schwannomas in patients with type 2 neurofibromatosis. Neurochirurgie. 2016; pii: S0028- 3770(16)30065-0. doi: 10.1016/j.neuchi.2016.03.005
Gao K, Ma H, Cui Y, Chen X, Ma J, Dai J. Meningiomas of the cerebellopontine angle: Radiological differences in tumors with internal auditory canal involvement and their influence on surgical outcome. PLoS One. 2015; 10(4): e0122949. doi: 10.1371/journal.pone.0122949
Aihara N, Murakami S. Enlargement of the Internal Au-ditory Canal and Hearing Preservation in the Middle Fos-sa Approach for Intracanalicular Vestibular Schwannomas. World Neurosurg. 2015; 84(6): 1950-1955. doi: 10.1016/j. wneu.2015.08.041
Leal AG, Silva EB Jr, Ramina R. Surgical exposure of the internal auditory canal through the retrosigmoid approach with semicircular canals anatomical preservation. Arq Neu-ropsiquiatr. 2015; 73(5): 425-430. doi: 10.1590/0004-282 X20150020
Marchioni D, Carner M, Rubini A, et al. The fully endoscop-ic acoustic neuroma surgery. Otolaryngol Clin North Am. 2016; 49(5): 1227-1236. doi: 10.1016/j.otc.2016.05.014
Herdman SJ, Clendaniel RA, Mattox DE, Holliday MJ, Niparko JK. Vestibular adaptation exercises and recovery: Acute stage after acoustic neuroma resection. Otolaryngol Head Neck Surg. 1995; 113(1):77-87. doi: 10.1016/S0194-5998 (95)70148-6
Barbara M, Monini S, Buffoni A, et al. Early rehabilitation of facial nerve deficit after acoustic neuroma surgery. Acta Otolar-yngol. 2003; 123(8): 932-935. doi: 10.1080/00016480310000629
Di Stadio A. Eyelid lifting for ectropion and scleral show in facial palsy disease. ORL J Otorhinolaryngol Relat Spec. 2014; 76(6): 329-335. doi: 10.1159/000369623
Biglioli F, Colombo V, Rabbiosi D, et al. Masseteric-fa-cial nerve neurorrhaphy: Results of a case series. J Neuro-surg. 2016; 1: 1-7. doi: 10.3171/2015.12.JNS14601
Kochhar A, Albathi M, Sharon JD, Ishii LE, Byrne P, Boa-hene KD. Transposition of the Intratemporal Facial to Hypoglos-sal Nerve for Reanimation of the Paralyzed Face: The VII to XII TranspositionTechnique. JAMA Facial Plast Surg. 2016; 18(5): 370-378. doi: 10.1001/jamafacial.2016.0514
Aljudaibi N, Bennis Y, Duquennoy-Martinot V, Labbé D, Guerreschi P. Lengthening temporalis myoplasty: Virtual animation-assisted technical video. Plast Reconstr Surg. 2016; 138(3): 506e-509e. doi: 10.1097/PRS.0000000000002512
Bouček J, Vokřál J, Černý L, et al. Baha implant as a hearing solution for single-sided deafness after retrosigmoid approach for the vestibularschwannoma: Audiological results. Eur Arch Otorhinolaryngol. 2016; 1-9. doi: 10.1007/s00405-016-4261-5
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