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Vestibular Evaluation After Vestibular Schwannoma Treatment

Completed
Conditions
Dizziness
Interventions
Procedure: Microsurgery resection
Radiation: Radiosurgery gammaknife
Registration Number
NCT03670589
Lead Sponsor
University Hospital, Grenoble
Brief Summary

Vestibular schwannoma is a benign tumor located on the vestibular nerve. Patient could present dizziness symptoms cause to the tumor, and at least after the treatment by gamaknife radiosurgery or microsurgery resection.

Only few studies keep the interest about dizziness symptoms and treatment modality in vestibular schwannoma.

In the study dizziness symptoms were compared before and after the treatment of vestibular schwannoma by radiosurgery gammaknife or microsurgery resection. 2 scales were used : dizziness handicap inventory (DHI) and dizziness functionnal scale (AAO).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
51
Inclusion Criteria
  • patient treated of an one side vestibular schwannoma between 01/01/2012 and 31/12/2017, follow at the Grenoble University Hospital
  • treatment : gamaknife radiosurgery or microsurgery resection
  • no opposition of the patient
Exclusion Criteria
  • association of gamaknife radiosurgery and microsurgery resection
  • bilateral vestibular schwannoma

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
microsurgery resection groupMicrosurgery resectionPatient treated by microsurgery resection for a one side vestibular schwannoma
radiosurgery gammaknife groupRadiosurgery gammaknifePatient treated by radiosurgery gammaknife for a one side vestibular schwannoma
Primary Outcome Measures
NameTimeMethod
Vestibular evaluation DHIFrom 4 years to 6 months

The investigator use a standarised scale :

- Dizziness Handicap Inventory (DHI). This scale combines 25 questions with three answers for each proposition about dizzyness in daily life situation : everytime (quote 4), sometimes (quote 2), never (quote 0). The scores are summing to obtain a value on 100.

The scale is completed before and after the treatement. The investigator send the scale to the patient by mail way.

Vestibular evaluation AAOFrom 4 years to 6 months

The investigator use a standarised scale :

- Dizziness Functionnal Scale (AAO), this is a scale quote from 1 (no symptoms of dizzyness) to 6 (major disability). The patient have to choise only one item that correspond to the condition.

The scale is completed before and after the treatement. The investigator send the scale to the patient by mail way.

Secondary Outcome Measures
NameTimeMethod
Tumor controlFrom 4 years to 6 months

Tumor control is based on MRI size description (in mm):

So there are 2 groups : controled or evolution of the tumor.

* for microsurgery resection group the investigator keeps interest about the remaining size

* for radiosurgery gammaknife group the investigator keeps interest about the stability or the reduction of the tumor

The result is completed after the treatement.

Facial fonctionFrom 4 years to 6 months

House and Brackmann scale :

This scale is a standarised assessment of facial fonction from grade I : normal ; to grade VI : total paralysis.

Each scale is completed after the treatement.

Hearing functionFrom 4 years to 6 months

This information is based on a question to the patient about the usefulness of hearing prothesis.

So there are 2 groups : useful hearing (normal hearing or used hearing prothesis) or useless hearing (unsused hearing prothesis)

The information is completed before and after the treatement.

Trial Locations

Locations (1)

CHU Grenoble-Alpes

🇫🇷

La Tronche, France

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