Young adult with bilateral CPA lesions
7 stems
What is the likely diagnosis and how would you counsel her at this first visit?
What is the genetic basis and pattern of inheritance?
What other lesions should be actively sought and how?
Her right-sided tumour measures 26 mm and is growing, while the left is 8 mm and stable. Hearing on the right is poor. What treatment would you consider for the right side?
She proceeds with right-sided surgery and is left with a dead ear on that side. She now faces future left-sided intervention. How would you plan her long-term hearing rehabilitation?
What is an auditory brainstem implant and what outcomes should she expect?
What are the wider MDT and family considerations?
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