Clinical Challenges in Otolaryngology |

Clinical Thresholds for When to Test for Retrocochlear Lesions: Con

Bradley W. Kesser, MD
Arch Otolaryngol Head Neck Surg. 2010;136(7):727-729. doi:10.1001/archoto.2010.100.
Text Size: A A A
Published online


Hypothesis:Early diagnosis of vestibular schwannoma (VS) is critical in optimizing patient outcomes, and clinicians should have a low threshold for ordering MRI in patients with ASNHL.

When to perform a contrast-enhanced MRI—the gold standard for the diagnosis of VS—for a patient with ASNHL, unilateral tinnitus, unilateral aural fullness, or dizziness is often not so much solely based on the audiogram itself but on a constellation of clinical data, including the history, the age of the patient, the quality, duration, and frequency of the symptoms, history of noise exposure, family history of HL, as well as other audiometric parameters besides simply the pure-tone thresholds (the arguments over MRI vs ABR testing are well recognized and will not be discussed herein; for an excellent analysis proposing abandoning ABR testing, see Cueva1).

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption

Bradley W. Kesser, MD

Graphic Jump Location




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 2

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles