Archives of oto-rhino-laryngology

, Volume 214, Issue 2, pp 157–165 | Cite as

Cerebellopontine Pantopaque cisternography and tomography of the internal acoustic meatus in the diagnosis of angle tumors

  • Jens Thomsen
  • Jack Lester
  • Kaj Zilstorff
Clinical Report


The results of 106 consecutive Pantopaque cisternographies performed at the neuro-radiological department, Rigshospitalet, are presented. 41 positive and 65 negative examinations were found. Good accordance between radiological tumor size estimation and size of actual, surgically verified tumor was noted.

A comparison between tomography of the internal auditory canal and pantopaque cisternography of the posterior fossa has been made, and we found 6 cases with normal tomography and positive cisternography. Furthermore 17 cases (26%) with pathological tomographic examination of internal auditory canal as well as a negative finding at Pantopaque cisternography, were encountered. Therefore we conclude that asymmetry of the radiological appearance of the internal auditory canal at tomography is not of decisive importance in the indication for cisternography, but the examination should be included in the test battery in search for cerebellopontine angle pathology. We agree with other authors that Pantopaque cisternography is without any doubt the final and most conclusive examination available for the diagnosis of cerebellopontine angle tumors.

A system of grading the different objective findings giving indication for Pantopaque cisternography has been made.


Posterior Fossa Test Battery Normal Tomography Cerebellopontine Angle Radiological Appearance 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Britton, B. J., Hitselberger, W. J., Hurley, B. J.: Iophendylate examination of posterior fossa in diagnosis of cerebellopontine angle tumors. Arch. Otolaryng. 88, 608 (1968)Google Scholar
  2. 2.
    Brown, F. M., Aye, R. C.: Myelographic demonstration of the basilar artery. Amer. J. Roentgenol. 73, 32 (1955)Google Scholar
  3. 3.
    Di Chiro, G.: An atlas of detailed normal pneumo-encephalographic anatomy. Illinois: Charles C. Thomas Publ. Springfield, 1961Google Scholar
  4. 4.
    Fisch, U.: Transtemporal surgery of the internal auditory canal. Adv. Oto-Rhino-Laryng. 17, 203 (1970)Google Scholar
  5. 5.
    Fisch, U., Wegmüller, A.: Early diagnosis of acoustic neuromas. ORL 36, 129 (1974)Google Scholar
  6. 6.
    Fisch, U., Nedzelski, J., Wellauer, J.: Diagnostic value of meatocisternography. Arch. Otolaryng. 101, 339–343 (1975)Google Scholar
  7. 7.
    Gass, H.: Pantopaque anterior basal cisternography of the posterior fossa. Amer. J. Roentgenol. 90, 1197 (1963)Google Scholar
  8. 8.
    Gonsetti, R.: Personal communications 1975Google Scholar
  9. 9.
    Grepe, A.: Cisternography with the non-ionic water-soluble contrast medium metrizamide. Acta radiol. Diagn. 16, 146–160 (1975)Google Scholar
  10. 10.
    Gyldensted, C., Lester, J., Thomsen, J.: Computed tomography in the diagnosis of cerebellopontine angle tumors. To be published in NeuroradiologyGoogle Scholar
  11. 11.
    Hindmarch, T., Grepe, A., Widen, L.: Metrizamide-phenothiazine interaction following myelography. Report of a case with seizures following myelography. Acta radiol. Diagn. 16, 129 (1975)Google Scholar
  12. 12.
    Howland, W. J., Curry, J. L.: Experimental Studies of Pantopaque arachnoiditis. Radiology 87, 253–261 (1966)Google Scholar
  13. 13.
    Lester, J.: Cerebellopontine cisternography with a positive contrast medium. Acta radiol. Diagn. 13, 928 (1973)Google Scholar
  14. 14.
    Lin, S. R., Lee, K. F., Stein, G. N., Lee, I: Asymmetrical internal auditory canals. Arch. Otolaryng. 98, 164 (1973)Google Scholar
  15. 15.
    Malis, L. E.: The myelographic examination of the foramen magnum. Radiology 70, 196 (1958)Google Scholar
  16. 16.
    Mones, R., Werman, R.: Pantopaque Myelo-encephalography. Radiology 72, 803 (1959)Google Scholar
  17. 17.
    Naunton, R. F., Petasnick, J. P.: Acoustic neurinomas with normal internal auditory meatus. Arch. Otolaryng 91, 437 (1970)Google Scholar
  18. 18.
    Nielsen, H.: Epileptic seizures following cervical myelography. Neuroradiology 10, 50–60 (1975)Google Scholar
  19. 19.
    Peacher, W. G., Robertson, R. C. L.: Pantopaque myelography: Results, comparison of contrast media and spinal fluid reaction. J. Neurosurg. 2, 22 (1945)Google Scholar
  20. 20.
    Pulec, J. L., House, W. F., Britton, B. H., Hitselberger, W. F.: A system of management of acoustic neuromas based on 364 cases. Trans. Amer. Acad. Ophthal. and Otolaryng. 75, 48 (1971)Google Scholar
  21. 21.
    Sabouri-Daylemi, M.: Contribution a l'étude radio-anatomique du conduit auditif interne. J. Radiol. Électrol. 55, 413 (1974)Google Scholar
  22. 22.
    Scanlon, R. L.: Roentgen diagnosis of acoustic neuromas with particular reference to use of Pantopaque. Laryngoscope 74, 999 (1964)Google Scholar
  23. 23.
    Slew, F. P., Kricheff, I. I., Chase, N. E.: Demonstration of small acoustic neuromas, using negative contrast medium with tomography. Radiology 91, 764 (1968)Google Scholar
  24. 24.
    Sinclair, D. J., Ritchie, G. W.: Morbidity in post-myelogram patients — a survey of 100 patients. J. Canad. Ass. Radiol. 23, 278–283 (1972)Google Scholar
  25. 25.
    Thomsen, J., Zilstorff, K.: Intermedius nerve involvement and testing in acoustic neuromas. Acta Otolaryng. 80, 276–282 (1975)Google Scholar
  26. 26.
    Valvassori, G. E.: The radiological diagnosis of acoustic neuromas. Arch. Otolaryng. 83, 582–587 (1966)Google Scholar
  27. 27.
    Valvassori, G. E.: Diagnosis of acoustic neuromas. Arch. Otolaryng. 89, 285 (1969)Google Scholar
  28. 28.
    Wright, R. E., Turner, J. S.: Positive angle myelograms without acoustic neuroma. Laryngoscope 83, 733 (1973)Google Scholar

Copyright information

© Springer-Verlag 1976

Authors and Affiliations

  • Jens Thomsen
    • 1
  • Jack Lester
    • 1
  • Kaj Zilstorff
    • 1
  1. 1.Neuro-radiological and Neuro-surgical departments, RigshospitaletUniversity ENTCopenhagenDenmark

Personalised recommendations