Very small vestibular schwannoma as the source of fatal subarachnoid hemorrhage: a case report
- 3 September 2023
- journal article
- research article
- Published by Taylor & Francis Ltd in British Journal of Neurosurgery
- Vol. 37 (5), 1254-1257
- https://doi.org/10.1080/02688697.2020.1844147
Abstract
Background Subarachnoid hemorrhage (SAH) is commonly caused by an aneurysm, trauma, other vascular diseases, and infrequently by a metastatic tumor or glioma. SAH due to a benign intracranial tumor, such as a vestibular schwannoma (VS), is rare. We report a case in which a very small (1 mm) VS caused fatal SAH. Case presentation A 75-year-old woman presented with a sudden severe headache. Computed tomography showed SAH at the right of the cerebellopontine angle. On post-onset day (POD) 27, MRI revealed a 1-mm mass on the cerebellopontine angle's right side. She was discharged with House-Brackmann grade 4 right-side facial weakness and hearing disturbance. She re-presented on POD 45 with headache and loss of consciousness. Computed tomography revealed massive SAH and intracerebellar hemorrhage. She died 4 days later. Histopathological evidence indicated a highly vascular vestibular schwannoma. Conclusions Vestibular schwannoma should therefore be considered a source of SAH, particularly in patients with facial weakness and/or hearing disturbance.This publication has 15 references indexed in Scilit:
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