Fatal case of tumor-associated hemorrhage in a large vestibular schwannoma

Charles Yates, Mitchell Weinberg, Mark J. Packer, Abraham Jacob

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Vestibular schwannomas are benign neoplasms that arise from Schwann cells of the eighth cranial nerve. Most manifest clinically with tinnitus, unilateral sensorineural hearing loss, and dysequilibrium secondary to compression of the vestibulocochlear nerve; major adverse events such as intratumoral hemorrhage causing acute neurologic deterioration are rare. We report the case of a 69-year-old man with a large vestibular schwannoma who required anticoagulation for several medical comorbidities. The patient began having progressively worsening neurologic symptoms, including facial nerve paralysis and dysequilibrium, which confined him to a wheelchair. After presentation, the patient was admitted to the hospital. Several days after alteration of his anticoagulation therapy in preparation for surgery, he developed intracranial hemorrhage. Attempts were made to stabilize the patient, including posterior fossa craniectomy and evacuation of hematoma; however, the intracranial hemorrhage ultimately resulted in a fatal outcome. During this procedure, a biopsy specimen was obtained, showing benign vestibular schwannoma. The literature for intratumoral hemorrhage into vestibular schwannoma and the pathologic findings in our case are reviewed.

Original languageEnglish (US)
Pages (from-to)402-405
Number of pages4
JournalAnnals of Otology, Rhinology and Laryngology
Volume119
Issue number6
StatePublished - Jun 2010
Externally publishedYes

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Acoustic Neuroma
Vestibulocochlear Nerve
Hemorrhage
Intracranial Hemorrhages
Neoplasms
Unilateral Hearing Loss
Wheelchairs
Fatal Outcome
Tinnitus
Sensorineural Hearing Loss
Facial Paralysis
Schwann Cells
Facial Nerve
Neurologic Manifestations
Hematoma
Nervous System
Comorbidity
Biopsy
Therapeutics

Keywords

  • Anticoagulant
  • Hemorrhage
  • Mortality
  • Vestibular schwannoma

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Fatal case of tumor-associated hemorrhage in a large vestibular schwannoma. / Yates, Charles; Weinberg, Mitchell; Packer, Mark J.; Jacob, Abraham.

In: Annals of Otology, Rhinology and Laryngology, Vol. 119, No. 6, 06.2010, p. 402-405.

Research output: Contribution to journalArticle

Yates, Charles ; Weinberg, Mitchell ; Packer, Mark J. ; Jacob, Abraham. / Fatal case of tumor-associated hemorrhage in a large vestibular schwannoma. In: Annals of Otology, Rhinology and Laryngology. 2010 ; Vol. 119, No. 6. pp. 402-405.
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