Listy klinické logopedie 2020, 4(2):37-43 | DOI: 10.36833/lkl.2020.0391872

Bulbar symptoms after vestibular schwannoma surgery - case report

Mgr. Naděžda Lasotová1, *, MUDr. Marcela Dubová2, MUDr. Miloš Duba3, MUDr. Nikola Mišurová2, prof. MUDr. Martin Smrčka, Ph.D., MBA3
1 Neurologická klinika FN Brno
2 Oddělení ORL FN Brno
3 Neurochirurgická klinika LF MU a FN Brno

Vestibular schwannoma is a posterior cranial fossa tumour, which is usually manifested by unilateral perceptual hearing loss, tinnitus, vertigo, facial tingling, etc. Therapy of vestibular schwannoma is chosen according to the size of tumour, its location and growth rate. Therapeutic procedures include microsurgical treatment and/or stereotactic radiosurgery and radiotherapy. Unilateral hearing loss occurs postoperatively, but bulbar syndrome may also develop through perioperative functional impairment of the peripheral nerves near the tumour site. The paper presents the role of a Clinical Speech Therapist in the diagnosis and therapy in a patient after vestibular schwannoma surgery with the development of bulbar symptoms.

Keywords: vestibular schwannoma, bulbar symptoms, fiberoptic endoscopic evaluation of swallowing, dysphagia therapy

Received: October 1, 2020; Revised: November 13, 2020; Accepted: November 16, 2020; Published: December 14, 2020  Show citation

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Lasotová N, Dubová M, Duba M, Mišurová N, Smrčka M. Bulbar symptoms after vestibular schwannoma surgery - case report. Listy klinické logopedie. 2020;4(2):37-43. doi: 10.36833/lkl.2020.039.
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References

  1. AMBLER, Z., 2013. Poruchy periferních nervů. Praha: Triton. ISBN 978-80-7387-705-7.
  2. HOUSE, J. W., BRACKMANN, D. E., 1985. Facial nerve grading system. Otolaryngol Head Neck Surg. Apr 93(2), s. 146-7. DOI:10.1177/019459988509300202. Go to original source... Go to PubMed...
  3. CHOVANEC. M., 2017. Vestibulární schwannom a jiné nádory skalní kosti a mostomozečkového koutu. In. ČADA, Z., ČERNÝ, R. et al. Závratě. Tobiáš. ISBN 978-80-7311-165-6.
  4. JENNINGS, K. S., SIROKY, D. et al., 1992. Swallowing problems after excision of tumors of the skull base: Diagnosis and Management in 12 Patients. Dysphagia. 7(1), s. 40-4. DOI: 10,1007 / BF02493420. Go to original source... Go to PubMed...
  5. KOMÍNEK, P., ROSOĽANKA, M. et al., 2018. Poruchy polykání po chirurgických výkonech. In. TEDLA, M., ČERNÝ, M. et al. Poruchy polykání. Tobiáš. ISBN 978-80-7311-188-5.
  6. KOOS, W. T., SPETZLER, R. F. et al., 1985. Color Atlas of Microneurosurgery. Stuttgart; New York: G. Thieme; New York: Thieme-Stratton. ISBN 978-0-86577-187-1.
  7. NEUBAUER, K. et al., 2018. Kompendium klinické logopedie. Praha: Portál. ISBN 978-80-262-1390-1.
  8. ROSENBEK, J. C., ROBINS, J. A. et al., 1996. A penetration-aspiration scale. Dysphagia, 11(2), s. 93-98. doi.org/10.1007/BF00417897. Go to original source... Go to PubMed...
  9. TEDLA, M., ČERNÝ, M. et al., 2018. Poruchy polykání. Tobiáš. ISBN 978-80-7311-188-5.
  10. VILÍMOVSKÝ, M., 2014. Neurinom akustiku: příčiny, příznaky, diagnostika a léčba. [online] cs.medlicker.com [cit. 25. 6. 2020]. Dostupné z: https://cs.medlicker.com/378-neurinom-akustiku-priciny-priznaky-diagnostika-a-lecba
  11. WARD, B.K., FRANCIS, H.W. et al., 2012. Nation Prevalence and Impact of Perioperative Vagus Nerve Injury in Vestibular Schwannoma. Laryngoscope. 122, s. 2824-2831. DOI:10.1002/lary.23605. Go to original source... Go to PubMed...
  12. WIKISKRIPTA. Vestibulární schwannom. [online] [cit. 25. 6. 2020]. Dostupné z: https://www.wikiskripta.eu/w/Vestibulární_schwannom
  13. ZVĚŘINA, E., 2010. Neurinom akustiku - vestibulární schwannom - osobní pohled na nejmodernější postupy v jeho léčbě. Časopis lékařů českých. 2010, 149, s. 269-276. ISSN 1805-4420. Go to PubMed...

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