• Acta neurochirurgica · Oct 2009

    Case Reports

    Imaging-documented repeated intratumoral hemorrhage in vestibular schwannoma: a case report.

    • E S Mandl, W P Vandertop, O W M Meijer, and S M Peerdeman.
    • Department of Neurosurgery, 1F-002, Neurosurgical Center Amsterdam, VU University Medical Center, 7057, Amsterdam 1007 MB, The Netherlands. es.mandl@vumc.nl
    • Acta Neurochir (Wien). 2009 Oct 1; 151 (10): 1325-7.

    AbstractIntratumoral hemorrhage in vestibular schwannomas is rare. Symptoms often have an acute onset and include headache, nausea, vomiting, vertigo, and depressed consciousness. Intratumoral hemorrhage is probably caused by vascular fragility associated with tumor characteristics and growth. With hemorrhage in VS being rare, repeated hemorrhage has only been reported twice, and on clinical grounds only. The present report details the case of acute neurological deterioration in a patient with repeated intratumoral hemorrhage inside a vestibular schwannoma with computed tomography and magnetic resonance imaging confirmation. To our knowledge, repeated hemorrhage in vestibular schwannoma with radiological confirmation has not been reported before.

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