Imaging in audiology: a case report of a patient with bilateral acoustic neuroma Attila L Nagy 1,5, János Jarabin 1, Ferenc Tóth 1, László Rovó 1, József Géza Kiss 1 1 University of Szeged, Department of Oto-rhino-laryngology and Head and Neck Surgery, Szeged, Hungary 5 University of Szeged, Department of Medical Physics and Medical Informatics, Szeged, Hungary Today CT MR CT CT Hospitalized due to tetraataxy Audiological examination CT CT Partial surgical resection of acoustic neuroma on the right MR MR MR Treatment due to facial nerve palsy Audiologycal examination CT MR Treatment due to facial nerve palsy MR Treatment due to facial nerve palsy Treatment due to facial nerve palsy Stereotaxic irradiation on the left side (16 Gy) MR MR Treatment due to facial nerve palsy Stereotaxic irradiation on the right side (14 Gy) MR Treatment due to facial nerve palsy MR Partial surgical resection of acoustic neuroma on the left Audiologycal examination First MR: "enormous bilateral acoustic neuromas" EABR, SSEP, nerve conduction speed Patient's condition became very bad (severe headache, vomiting), hospitalized Patient's condition begins to deteriorate View from posterior to anterior View from superior anterior to inferior posterior In the intersections of the table’s rows and columns visual comparisons between the given years can be found. Short patient history Female patient born in 1985 First symptoms at the age of 21 (2006) First partial surgery in 2006 First stereotaxic irradiation in 2007 Oct Second stereotaxic irradiation in 2008 Feb Second partial surgery in 2011 Anacusis Brainstem implant candidate These scans are shown below

Milestone(s) DateDescription Patient's condition begins to deteriorate Patient's condition became very bad (severe headache, vomiting), hospitalized EABR, SSEP, nerve conduction speed First MR: "enormous bilateral acoustic neuromas" Audiologycal examination Partial surgical resection of acoustic neuroma on the left MR Treatment due to Bell's palsy MR Stereotaxic irradioaton on the right side (14 Gy) Treatment due to Bell's palsy MR Stereotaxic irradioaton on the left side (16 Gy) Treatment due to Bell's palsy Treatment due to Bell's palsy MR Treatment due to Bell's palsy MR CT Audiologycal examination Treatment due to Bell's palsy MR MR MR CT Partial surgical resection of acoustic neuroma on the right CT Audiological examination Hospitalized due to tetraataxy CT CT MR CT MR Timeline: