Hemorrhagic Vestibular Schwannoma Presenting with Acute Facial Nerve Palsy: An Unusual Clinical Entity

Huliyappa HA

Department of Neurosurgery, King George's Medical University, Lucknow, UP, India

^*Correspondance to: Huliyappa HA 

 PDF  Full Text DOI: 10.25107/2474-1647.1910

Abstract

Sixty six years old female presented with acute onset of Occipital headache, deviation of angle of mouth to left side, giddiness and ataxic gait of one day duration. This was preceded by 2 months history of unsteadiness of gait and mild reduced hearing from right ear. Neurological exam revealed right-sided lower motor neuron facial nerve palsy. Both CT and MRI demonstrated a large cerebellopontine angle tumor with fluid level and intracavitary blood consistent with hemorrhage in acoustic schwannoma. The tumor was excised and histological examination revealed vestibular schwannoma. This is a rare case of isolated hemorrhage into a vestibular schwannoma with atypical acute presentation with ipsilateral facial nerve palsy on the background of hearing loss of short duration. Other differential diagnosis of acute facial nerve palsy may have to be included in such lesions.

Keywords

Vestibular schwannoma; Intratumoral hemorrhage

Cite the article

Huliyappa HA. Hemorrhagic Vestibular Schwannoma Presenting with Acute Facial Nerve Palsy: An Unusual Clinical Entity. Clin Surg. 2018; 3: 1910.