Vestibular schwannoma

Case contributed by Sajoscha A. Sorrentino
Diagnosis almost certain

Presentation

Right sensorineural hearing loss.

Patient Data

Age: 65 years
Gender: Male

Brain

mri

Right cerebellopontine angle mass lesion with intracanalicular extension widening the ipsilateral internal auditory canal. It is measuring 3.3 x 2.5 x 2.5 cm in dimensions. It shows intense post-contrast enhancement with internal cystic changes. It exerts mass effect upon the brainstem and right cerebellar hemisphere. Peritumoural CSF cleft is seen between it and the brainstem.

Case Discussion

Features of right vestibular schwannoma.

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