PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of skullbasesurgInstructions for AuthorsSubscribe to Skull BaseAbout Skull BaseEditorial BoardThieme Medical PublishingSkull Base An Interdisciplinary Approach ...
 
Skull base surgery. 1993 July; 3(3): 136-138, 139-140.
PMCID: PMC1656437

Acoustic Schwannoma Presenting as Acute Posterior Fossa Hematoma

Case Report and Review of the Literature

Abstract

Acoustic schwannomas usually present with gradually progressive unilateral sensorineural hearing loss. As the tumor enlarges, symptoms and signs develop when the adjacent cranial nerves, cerebelhim, and/or brainstem become compressed. Rarely, acoustic tumors present with acute subarachnoid or intratumoral hemorrhage. Of the 12 cases of acoustic schwannoma with tumoral hemorrhage presented in the literature of which we are aware, this is the third such case of a patient presenting with spontaneous pure intratumoral hemorrhage and the first such case presenting with sudden multiple cranial nerve palsies, The purpose of this report is to increase the awareness of this rare form of presentation of acoustic schwannoma in the hope of achieving better preservation of cranial nerves.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.4M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Yonemitsu T, Niizuma H, Kodama N, Fujiwara S, Suzuki J. Acoustic neurinoma presenting as subarachnoid hemorrhage. Surg Neurol. 1983 Aug;20(2):125–130. [PubMed]
  • Shimabukuro H, Masuzawa T, Miyagi K, Sato F. Trigeminal neurinoma revealed by intratumoral hemorrhage following a minor head injury. Surg Neurol. 1983 Apr;19(4):346–350. [PubMed]
  • Gökalp HZ, Avman N, Ozkal E, Gökben B. Brain tumour associated with intracranial arterial aneurysm. Acta Neurochir (Wien) 1980;53(3-4):267–273. [PubMed]
  • Helmer FA. Oncotic aneurysm. Case report. J Neurosurg. 1976 Jul;45(1):98–100. [PubMed]
  • Kochi N, Tani E, Yokota M, Nakaya Y. Neoplastic cerebral aneurysm from lung cancer. Case report. J Neurosurg. 1984 Mar;60(3):640–643. [PubMed]
  • ABBOTT KH, ROLLAS ZH, MEAGHER JN. Choroid plexus papilloma causing spontaneous subarachnoid hemorrhage; report of case and review of literature. J Neurosurg. 1957 Sep;14(5):566–570. [PubMed]
  • Yaşargil MG, So SC. Cerebellopontine angle meningioma presenting as subarachnoid haemorrhage. Surg Neurol. 1976 Jul;6(1):3–6. [PubMed]
  • ERNSTING J. Choroid plexus papilloma causing spontaneous subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry. 1955 May;18(2):134–136. [PMC free article] [PubMed]
  • Castillo R, Watts C, Pulliam M. Sudden hemorrhage in an acoustic neuroma. Case report. J Neurosurg. 1982 Mar;56(3):417–419. [PubMed]
  • Lee JP, Wang AD. Acoustic neurinoma presenting as intratumoral bleeding. Neurosurgery. 1989 May;24(5):764–768. [PubMed]
  • Fine R, Williams B, Dowling J. Acoustic neuroma causing subarachnoid haemorrhage. Med J Aust. 1977 Jan 29;1(5):137–139. [PubMed]
  • Gleeson RK, Butzer JF, Grin OD., Jr Acoustic neurinoma presenting as subarachnoid hemorrhage. Case report. J Neurosurg. 1978 Oct;49(4):602–604. [PubMed]
  • Kodama T, Matsukado Y, Takamoto K. Acoustic schwannoma presenting as subarachnoid hemorrhage due to ruptured contact aneurysm. Surg Neurol. 1987 Jan;27(1):77–80. [PubMed]
  • Shephard RH, Cheeks RE. Subarachnoid haemorrhage and acoustic neuroma. J Neurol Neurosurg Psychiatry. 1981 Nov;44(11):1057–1057. [PMC free article] [PubMed]
  • Kojima Y, Tanaka N, Kuwana N. Massive hemorrhage in acoustic neurinoma after minor head trauma--case report. Neurol Med Chir (Tokyo) 1990 Nov;30(12):972–976. [PubMed]
  • Goetting MG, Swanson SE. Massive hemorrhage into intracranial neurinomas. Surg Neurol. 1987 Feb;27(2):168–172. [PubMed]
  • McCoyd K, Barron KD, Cassidy RJ. Acoustic neurinoma presenting as subarachnoid hemorrhage. Case report. J Neurosurg. 1974 Sep;41(3):391–393. [PubMed]
  • Kasantikul V, Netsky MG, Glasscock ME, 3rd, Hays JW. Acoustic neurilemmoma. Clinicoanatomical study of 103 patients. J Neurosurg. 1980 Jan;52(1):28–35. [PubMed]

Articles from Skull Base Surgery are provided here courtesy of Thieme Medical Publishers