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Tinnitus and hearing loss in pineal region tumours

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Summary

The authors report an underestimated symptom and sign arising in pineal region tumours: tinnitus and hearing loss. It has been observed in 13 out of 72 pineal region tumours (18%). Three illustrative cases are reported in this paper.

The inferior colliculi, the structure more dense in fibres than any other auditory brain stem site and at which majority of the acoustic pathways relay, is closely adjacent to the pineal body. Displacement of this structure may be responsible for acoustic symptoms together with common visual symptoms.

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References

  1. Bredberg G (1981) Innervation of the auditory system. Scand Audiol [Suppl] 13: 1–10

    Google Scholar 

  2. Carpenter MB, Sutin J (1983) Human neuroanatomy, 8th edition. Williams and Wilkins, Baltimore, p 678

    Google Scholar 

  3. Dandy WE (1936) Operative experience in cases of pineal tumor. Arch Surg 33: 19–46

    Google Scholar 

  4. De Girolami U, Schmidek H (1973) Clinicopathological study of 53 tumors of the pineal region. J Neurosurg 39: 455–462

    PubMed  Google Scholar 

  5. DeMonte F, Zelby AS, Al-Mefty O (1993) Hearing impairment resulting from a pineal region meningioma. Neurosurgery 32: 665–668

    PubMed  Google Scholar 

  6. Dublin WB (1986) Central auditory pathology. Otolaryngol Head Neck Surg 95: 363–424

    PubMed  Google Scholar 

  7. Hackney CM (1987) Anatomical features of the auditory pathways from cochlea to cortex. Br Med Bull 43: 780–801

    PubMed  Google Scholar 

  8. Kier EL (1987) Comparative anatomy of the third ventricular region. In: Apuzzo ML (ed) Surgery of the third ventricle. Williams and Wilkins, Baltimore, p 50

    Google Scholar 

  9. Lang J (1983) Clinical anatomy of the head. Springer, Berlin Heidelberg New York Tokyo, p 220

    Google Scholar 

  10. Luxon LM (1981) The anatomy and pathology of the central auditory pathways. Br J Audiol 15: 31–40

    PubMed  Google Scholar 

  11. Musiek FE, Baran JA (1986) Neuroanatomy, neurophysiology, and central auditory assessment. Part I: brain stem. Ear Hear 7: 207–219

    PubMed  Google Scholar 

  12. Musiek FE (1986) Neuroanatomy, neurophysiology, and central auditory assessment. Part II: the cerebrum. Ear Hear 7: 283–294

    PubMed  Google Scholar 

  13. Musiek FE (1986) Neuroanatomy, neurophysiology, and central auditory assessment. Part III: corpus callosum and efferent pathways. Ear Hear 7: 349–358

    PubMed  Google Scholar 

  14. Niewenhuys R (1984) Anatomy of the auditory pathways, with emphasis on the brain stem. Adv Otorhinolaryngol 34: 25–38

    PubMed  Google Scholar 

  15. Pendl G (1985) Clinical diagnosis. In: Pendl G (ed) Pineal and midbrain lesions. Springer, Wien New York, pp 60–67

    Google Scholar 

  16. Schnitzlein HN, Murtagh FR (1990) Imaging anatomy of the head and spine, 2nd Ed. Urban and Schwarzenberg, Baltimore, p 155

    Google Scholar 

  17. Seeger W (1980) Microsurgery of the brain. Anatomical and technical principles. Springer, Wien New York, p 569

    Google Scholar 

  18. Sekhar LN, Goel A (1992) Combined supratentorial and infratentorial approach to large pineal-region meningioma. Surg Neurol 37: 197–201

    PubMed  Google Scholar 

  19. Shults WT (1984) Neuro-ophthalmology of pineal tumors. In: Neuwelt EA (ed) Diagnosis and treatment of pineal region tumors. Williams and Wilkins, Baltimore, pp 108–115

    Google Scholar 

  20. Suzuchi J, Iwabuchi T (1965) Surgical removal of pineal tumors (pinealomas and teratomas). J Neurosurg 23: 565–571

    PubMed  Google Scholar 

  21. Suzuchi J, Hori S (1969) Evaluation of radiotherapy of tumors in the pineal region by ventriculographic studies with iodized oil. J Neurosurg 30: 595–603

    PubMed  Google Scholar 

  22. Tanaka Y, Kamo T, Yoshida M, Yamadori A (1991) ‘So called’ cortical deafness. Clinical, neurophysiological and radiological observations. Brain 114: 2385–2401

    PubMed  Google Scholar 

  23. Van Wagenen WP (1931) A surgical approach for the removal of certain pineal tumors. Surg Gyn Obst 53: 216–220

    Google Scholar 

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Missori, P., Delfini, R. & Cantore, G. Tinnitus and hearing loss in pineal region tumours. Acta neurochir 135, 154–158 (1995). https://doi.org/10.1007/BF02187761

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