HomeAnswersNeurologyacoustic neuromaI suffer from acoustic neuroma. What does my MRI reveal?

Can an acoustic neuroma cause headaches?

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Answered by

Dr. Ashok Kumar

Medically reviewed by

iCliniq medical review team

Published At September 25, 2017
Reviewed AtJanuary 30, 2024

Patient's Query

Hello,

I am a 52 year old female with a 2 mm acoustic neuroma on the right side. There is no hearing loss, but I do have dizziness, imbalance, pulsatile tinnitus. Also, an essential tremor developed seven years ago. I get migraines with aura occasionally. Ten months ago, I developed a coccyx pain which got worse upon sitting. My colonoscopy was clear. Three months ago, I developed bilateral diplopia, lateral and horizontal, but no nystagmus. I have also been getting headaches upon waking and in the evening. I consulted a neuro-ophthalmologist who suspected cranial nerve palsy and ordered blood and magnetic resonance imaging (MRI) tests. I will go over the results with him at the next appointment. I want to be sure to ask the right questions. There are two areas that I saw on the MRI that are obviously strange: The left lateral ventricle has a bright spot and looks larger with a different imaging, not at the foramen of Monro, but above. Also, the right clivus looks off. I would like your opinion and also want to know specifically what questions I should ask my neuro. I will submit a few of the scans.

Answered by Dr. Ashok Kumar

Hello,

Welcome to icliniq.com. I read your query and understand your concerns. You need to ask your neuro-ophthalmologist the following questions: 1. What he suspects about the nature of the acoustic neuroma? 2. Is there an involvement of the ophthalmic nerve or of any other nerve supplying the eye muscles? 3. What is the explanation for the bright spot in the ventricle? Is it a normal calcification of the choroid plexus or indicates a hemorrhage? 4. Is there any more explanation for diplopia? As an acoustic neuroma of 2 mm rarely causes diplopia. 5. You also need to ask about the possibility of chondrosarcoma of clivus. I hope this helps you. If you have more questions feel free to write back to me. Thanks and regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ashok Kumar
Dr. Ashok Kumar

Geriatrics

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