CPA Tumor

(Cerebellopontine Angle Tumor)

ANATOMI
 DEFINISI
• Tumor otak: primer dan metastasis
• Primer: jenis asal pembentuknya (mis:
meningioma, ependymoma,
medulloblastoma)

MENINGIOMA KLASIK:
WHO
1. Meningotheliomas/
Grade 1 – benigna
angiomatous
Grade 2 – atipikal
2. Fibrous/fibroblastik
Grade 3 - malignan
3. Transisional
 Cerebellopontine Angle
• CPA: daerah berbentuk segitiga pada fossa
posterior yg dibatasi tulang temporal,
serebelum dan pons.
 BORDERS OF CPA
• Anterior: Petrous part of temporal bone
• Posterior: cerebellum
• Superior: pons cerebellar peduncles
• Inferior: cerebellar tonsils
• Medial: medial lateral surface of the
brainstem
• Lateral: petrous bone
 CPA Tumor
• These tumors are usually unilateral: however
about 5% are bilateral and associated with
neurofibromatosis type II
• Patient with these tumors typically present in
middle age with progressive unilateral
sensorineural hearing loss
 ETIOLOGI
• Idiopatik
• Neurofibromatosis tipe 2 (NF2) (61%)
PATOFISIOLOGI
 TANDA GEJALA
• Hipestesi wajah
• Nyeri occipitofrontal

Disfungsi
Serebelar
Nervus Kranialis
• Inkoordinasi
Gejela Vestibular • Facial
• Ataksia
• Vertigo hypesthesia
• Disequilibrium
• disequilibrium • Kesemutan
• Nistagmus
regio wajah
• Tremor
• hipotonis
 Diagnosis

ANAMNESIS
PEMERIKSAAN
PENUNJANG
• Nyeri kepala PEMERIKSAAN FISIK
• Kehilangan
• Test audiologi
pendengaran • Pemeriksaan nervus
• Tes vestibular
• Pusing berputar kranialis
• Radiologis
• Muntah
• Ggn nervus kranialis