Vestibular schwannoma

Case contributed by Manar Alaa El Din osman


Decreased hearing and tinnitus on the right side.

Patient Data

Age: 50 years
Gender: Male

A well-defined lesion is seen at the right cerebellopontine angle, it elicits intermediate T2 and low T1 signals with avid post-contrast enhancement, and it shows intracanalicular extension.

Case Discussion

Vestibular schwannoma, also known as "acoustic neuroma" is a benign tumor, with a slow growth pattern. The main presentation of the patient is sensorineural hearing loss and tinnitus. MRI is mandatory to assess tumor growth. Conservative management for slowly growing tumors shows fewer complications yet rapidly growing tumors usually need further treatment.

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