Concomitant Occurrence of Vestibular Schwannoma and Epidermoid Cyst in Neurofibromatosis: Case description and Review of the Literature

We report a case of a 16-year-old female patient harboring neurofibromatosis type 2 who presented with bilateral hearing impairment, which was on the left side, as well as facial paresis (House-Brackmann grade III) and ataxic gait. A magnetic resonance imaging (MRI) exam evidenced bilateral lesions...

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Main Authors: Alex Roman, Edson Najera, Toma Spiriev, Kristoph Ramina, Luigi Rigante, Marcos Soares Tatagiba
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2017-09-01
Series:Brazilian Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1606623
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author Alex Roman
Edson Najera
Toma Spiriev
Kristoph Ramina
Luigi Rigante
Marcos Soares Tatagiba
author_facet Alex Roman
Edson Najera
Toma Spiriev
Kristoph Ramina
Luigi Rigante
Marcos Soares Tatagiba
author_sort Alex Roman
collection DOAJ
description We report a case of a 16-year-old female patient harboring neurofibromatosis type 2 who presented with bilateral hearing impairment, which was on the left side, as well as facial paresis (House-Brackmann grade III) and ataxic gait. A magnetic resonance imaging (MRI) exam evidenced bilateral lesions in the cerebellopontine angles (CPAs) with extension into the internal acoustic meatus, and an additional lesion in the right CPA with radiological characteristics of an epidermoid cyst. The patient was submitted to microsurgical resection, confirming a collision of a vestibular schwannoma and an epidermoid cyst in the right CPA. In the present case report, we describe the first case reported in the literature with preoperative diagnostic work-up, intraoperative findings, postoperative course of the patient, as well as a detailed literature review of these specific coinciding pathologies, denoting the importance of further genomic studies regarding multiple central nervous system (CNS) lesions.
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spelling doaj.art-6ac9c686209c4508996c87b19680fb472022-12-21T22:14:40ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222017-09-01360423023310.1055/s-0037-1606623Concomitant Occurrence of Vestibular Schwannoma and Epidermoid Cyst in Neurofibromatosis: Case description and Review of the LiteratureAlex Roman0Edson Najera1Toma Spiriev2Kristoph Ramina3Luigi Rigante4Marcos Soares Tatagiba5Hospital São Vicente de Paulo, Passo Fundo, RS, BrazilUniversitätsklinikum Tübingen, Tübingen, GermanyUniversitätsklinikum Tübingen, Tübingen, GermanyUniversitätsklinikum Tübingen, Tübingen, GermanyUniversitätsklinikum Tübingen, Tübingen, GermanyUniversitätsklinikum Tübingen, Tübingen, GermanyWe report a case of a 16-year-old female patient harboring neurofibromatosis type 2 who presented with bilateral hearing impairment, which was on the left side, as well as facial paresis (House-Brackmann grade III) and ataxic gait. A magnetic resonance imaging (MRI) exam evidenced bilateral lesions in the cerebellopontine angles (CPAs) with extension into the internal acoustic meatus, and an additional lesion in the right CPA with radiological characteristics of an epidermoid cyst. The patient was submitted to microsurgical resection, confirming a collision of a vestibular schwannoma and an epidermoid cyst in the right CPA. In the present case report, we describe the first case reported in the literature with preoperative diagnostic work-up, intraoperative findings, postoperative course of the patient, as well as a detailed literature review of these specific coinciding pathologies, denoting the importance of further genomic studies regarding multiple central nervous system (CNS) lesions.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1606623vestibular schwannomaepidermoid cystmultiple intracranial lesions
spellingShingle Alex Roman
Edson Najera
Toma Spiriev
Kristoph Ramina
Luigi Rigante
Marcos Soares Tatagiba
Concomitant Occurrence of Vestibular Schwannoma and Epidermoid Cyst in Neurofibromatosis: Case description and Review of the Literature
Brazilian Neurosurgery
vestibular schwannoma
epidermoid cyst
multiple intracranial lesions
title Concomitant Occurrence of Vestibular Schwannoma and Epidermoid Cyst in Neurofibromatosis: Case description and Review of the Literature
title_full Concomitant Occurrence of Vestibular Schwannoma and Epidermoid Cyst in Neurofibromatosis: Case description and Review of the Literature
title_fullStr Concomitant Occurrence of Vestibular Schwannoma and Epidermoid Cyst in Neurofibromatosis: Case description and Review of the Literature
title_full_unstemmed Concomitant Occurrence of Vestibular Schwannoma and Epidermoid Cyst in Neurofibromatosis: Case description and Review of the Literature
title_short Concomitant Occurrence of Vestibular Schwannoma and Epidermoid Cyst in Neurofibromatosis: Case description and Review of the Literature
title_sort concomitant occurrence of vestibular schwannoma and epidermoid cyst in neurofibromatosis case description and review of the literature
topic vestibular schwannoma
epidermoid cyst
multiple intracranial lesions
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1606623
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