Clinical Management of a Patient with Bilateral Vestibular Schwannomas
IJ is a 75-year-old male who presented to the otolaryngology department in May 2008 due to a sudden decrease in hearing in his left ear. IJ had also experienced sudden hearing loss in his right ear approximately 35 years prior. At that time, IJ was evaluated and was told he had a right vestibular schwannoma (VS), although he did not recall the details of the examination. IJ refused surgical removal of the VS and pursued no further subsequent testing. Since that time, the hearing in his left ear had been gradually decreasing until February 2008, when he suddenly lost all remaining hearing in his left ear. Since the decrease in hearing in the left ear in 2008, IJ had not been medically evaluated but had briefly tried bilateral hearing aids through a hearing aid dispenser, with no perceived benefit. IJ reported no history of dizziness or vertigo and denied otalgia, aural fullness, and any previous ear infections or surgeries. The otologist evaluated IJ and noted normal otoscopic findings. He was referred for audiological examination and magnetic resonance imaging (MRI) scan with gadolinium contrast to evaluate the presence of any retrocochlear lesion(s).