Is the nerve origin of the vestibular schwannoma correlated with vestibular evoked myogenic potential, caloric test, and auditory brainstem response?

Abstract

Conclusions. The results of the caloric test, vestibular evoked myogenic potential (VEMP), and auditory brainstem response (ABR) in patients with vestibular schwannoma (VS) did not show clear correlation with the nerve origin of the tumor but with tumor size. When we focused on patients with VS within the internal acoustic canal (IAC), neither the nerve origin of the tumor nor the tumor size showed clear correlation with the results of these tests. Objectives. This study examined the correlation of the nerve origin of VS, superior or inferior vestibular nerve, with the results of function tests. Subjects and methods. Subjects comprised 109 consecutive patients diagnosed as having unilateral VS. Each test was performed before surgery. Tumor size was measured with preoperative MRI. Results. The nerve origin of the tumor was identified in 63 of the 109 patients. The percentage of patients showing abnormal responses in each test was not different between 37 patients with superior VS and 26 patients with inferior VS. Also, no difference was observed for patients with VS within the IAC. Mean tumor size in patients showing abnormal responses was larger than that in patients showing normal responses on each test. However, this tendency was not observed for patients with VS within the IAC.

• Vestibular schwannoma
• vestibular nerve
• caloric test
• vestibular evoked myogenic potential (VEMP)
• auditory brainstem response (ABR)