Acoustic neuroma risk factors: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 3: Line 3:
{{CMG}}{{AE}}{{Simrat}}
{{CMG}}{{AE}}{{Simrat}}
==Overview==
==Overview==
Common risk factors in the development of acoustic neuroma are [[neurofibromatosis type 2]], and low dose [[radiation]].
Common risk factors in the development of acoustic neuroma are [[neurofibromatosis type 2]], [[radiation]], exposure to loud noise, history of parathyroid adenoma, and the use of cellular phones.<ref>{{Cite web | title =Wikipedia acoustic neuroma causes| url =https://en.wikipedia.org/wiki/Vestibular_schwannoma }}</ref>
==Risk Factors==
==Risk Factors==
The risk factors of acoustic neuroma include:
The risk factors of acoustic neuroma include:
===Neurofibromatosis type 2===
*Neurofibromatosis type 2
The known risk factor for acoustic neuroma is having a parent with the rare [[genetic]] disorder [[neurofibromatosis type 2]]. This disorder accounts for only a small number of cases. Neurofibromatosis type 2 is characterized by development of [[benign]] [[tumors]] on the VIII [[cranial nerve]](balance nerves) on both sides of your [[head]] but it can affect other nerves too. NF2 is an [[autosomal]] [[dominant]] disorder. The [[mutation]] can be passed on by just one parent(dominant gene). Each child of an affcted parent has a 50% chance of inheriting it.  
The known risk factor for acoustic neuroma is having a parent with the rare [[genetic]] disorder [[neurofibromatosis type 2]]. Neurofibromatosis type 2 is characterized by development of [[benign]] [[tumors]] on the VIII [[cranial nerve]](balance nerves) on both sides of your [[head]] but it can affect other nerves too. NF2 is an [[autosomal]] [[dominant]] disorder. The [[mutation]] can be passed on by just one parent(dominant gene). Each child of an affected parent has a 50% chance of inheriting it. NF2 occurs with a frequency of 1 in 30,000 to 1 in 50,000 births. Neurofibromatosis type II occurs in individuals who have defective tumor suppressor gene located on [[chromosome]] ''22q12.2''. The defective [[protein]] produced by the [[gene]] is called merlin or schwannomin.
===Radiation exposure===
*Childhood exposure to [[radiation]] of the [[head]] and [[neck]] may be associated with acoustic neuroma.  
Childhood exposure to low-dose [[radiation]] of the [[head]] and [[neck]] may be associated with acoustic neuroma.  
*There is a growing body of evidence that sporadic defects in tumor suppressor genes may give rise to acoustic neuromas in some individuals.  
 
*Exposure to high-dose ionizing radiation is the only definite environmental risk factor associated with an increased risk of developing an acoustic neuroma.
Acoustic neuromas may occur idiopathically (meaning the cause is unknown), however there is a growing body of evidence that sporadic defects in tumor suppressor genes may give rise to these tumors in some individuals. Other studies have hinted at exposure to loud noise on a consistent basis. One study has shown a relationship between acoustic neuromas and prior exposure to head and neck radiation, and a concomitant history of having had a parathyroid adenoma (tumor found in proximity to the thyroid gland controlling calcium metabolism). There are even controversies on hand held cellular phones. Whether or not the radiofrequency radiation has anything to do with acoustic neuroma formation, remains to be seen. To date, no environmental factor (such as cell phones or diet) has been scientifically proven to cause these tumors. The Acoustic Neuroma Association (ANA) does recommend that frequent cellular phone users use a hands free device to enable separation of the device from the head.[13]
*Exposure to loud noise on a consistent basis may give rise to acoustic neuromas.
 
*A concomitant history of having had a [[parathyroid]] [[adenoma]] may have an increased risk of developing vestibular schwannoma.  
Although there is an inheritable condition called Neurofibromatosis Type 2 (NF2) which can lead to acoustic neuroma formation in some people, most acoustic neuromas occur spontaneously without any evidence of family history (95%).[14] NF2 occurs with a frequency of 1 in 30,000 to 1 in 50,000 births. The hallmark of this disorder is bilateral acoustic neuromas (an acoustic neuroma on both sides). This creates the possibility of complete deafness if the tumors are left to grow unchecked. Preventing or treating the complete deafness that may befall individuals with NF2 requires complex decision making. The trend at most academic U.S. medical centers is to recommend treatment for the smallest tumor which has the best chance of preserving hearing. If this goal is successful, then treatment can also be offered for the remaining tumor. If hearing is not preserved at the initial treatment, then usually the second tumor, in the only-hearing ear, is just observed. If it shows continued growth and becomes life-threatening, or if the hearing is lost over time as the tumor grows, then treatment is undertaken. This strategy has the highest chance of preserving hearing for the longest time possible.
*The use of cellular phones may be associated with increased incidence of acoustic neuromas. Whether or not the radiofrequency [[radiation]] has anything to do with acoustic neuroma formation, remains to be seen.To date, no environmental factor (such as cell phones or diet) has been scientifically proven to cause these tumors. The Acoustic Neuroma Association (ANA) does recommend that frequent cellular phone users use a hands free device to enable separation of the device from the head.<ref>{{Cite web | title =Wikipedia acoustic neuroma causes| url =https://en.wikipedia.org/wiki/Vestibular_schwannoma }}</ref>
 
 
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 02:55, 2 October 2015

Acoustic neuroma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Acoustic neuroma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography or Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Acoustic neuroma risk factors On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Acoustic neuroma risk factors

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Acoustic neuroma risk factors

CDC on Acoustic neuroma risk factors

Acoustic neuroma risk factors in the news

Blogs on Acoustic neuroma risk factors

Directions to Hospitals Treating Acoustic neuroma

Risk calculators and risk factors for Acoustic neuroma risk factors

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

Common risk factors in the development of acoustic neuroma are neurofibromatosis type 2, radiation, exposure to loud noise, history of parathyroid adenoma, and the use of cellular phones.[1]

Risk Factors

The risk factors of acoustic neuroma include:

  • Neurofibromatosis type 2

The known risk factor for acoustic neuroma is having a parent with the rare genetic disorder neurofibromatosis type 2. Neurofibromatosis type 2 is characterized by development of benign tumors on the VIII cranial nerve(balance nerves) on both sides of your head but it can affect other nerves too. NF2 is an autosomal dominant disorder. The mutation can be passed on by just one parent(dominant gene). Each child of an affected parent has a 50% chance of inheriting it. NF2 occurs with a frequency of 1 in 30,000 to 1 in 50,000 births. Neurofibromatosis type II occurs in individuals who have defective tumor suppressor gene located on chromosome 22q12.2. The defective protein produced by the gene is called merlin or schwannomin.

  • Childhood exposure to radiation of the head and neck may be associated with acoustic neuroma.
  • There is a growing body of evidence that sporadic defects in tumor suppressor genes may give rise to acoustic neuromas in some individuals.
  • Exposure to high-dose ionizing radiation is the only definite environmental risk factor associated with an increased risk of developing an acoustic neuroma.
  • Exposure to loud noise on a consistent basis may give rise to acoustic neuromas.
  • A concomitant history of having had a parathyroid adenoma may have an increased risk of developing vestibular schwannoma.
  • The use of cellular phones may be associated with increased incidence of acoustic neuromas. Whether or not the radiofrequency radiation has anything to do with acoustic neuroma formation, remains to be seen.To date, no environmental factor (such as cell phones or diet) has been scientifically proven to cause these tumors. The Acoustic Neuroma Association (ANA) does recommend that frequent cellular phone users use a hands free device to enable separation of the device from the head.[2]

References

  1. "Wikipedia acoustic neuroma causes".
  2. "Wikipedia acoustic neuroma causes".


Template:WikiDoc Sources