Non-Hodgkin Lymphoma Mimicking Vestibular Schwannoma

Progressive unilateral hearing loss and an MRI are usually enough to diagnose vestibular schwannoma (VS). We were consulted by a 45-year-old man with otalgia and left-sided hearing loss as well as ipsilateral facial paralysis that had begun two weeks prior. Due to a possible atypical presentation of...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-12, Vol.15 (12), p.e50965
Main Authors: Vaz, Marco Antônio S, Gonçalves, Rafaela F, Lavinsky, Joel, Rassier Isolan, Gustavo
Format: Article
Language:English
Subjects:
Audiometry
Cerebrospinal fluid
Disease
Headaches
Hearing loss
Lymphatic system
Lymphoma
Medical diagnosis
Metastasis
Neurosurgery
Oncology
Pathogenesis
Sarcoidosis
Steroids
Tinnitus
Tomography
Tumors
Vertigo
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Summary:Progressive unilateral hearing loss and an MRI are usually enough to diagnose vestibular schwannoma (VS). We were consulted by a 45-year-old man with otalgia and left-sided hearing loss as well as ipsilateral facial paralysis that had begun two weeks prior. Due to a possible atypical presentation of VS, an MRI was ordered, which revealed an intracanalicular lesion occupying the left cerebellopontine angle cistern. With no signs of systemic disease and considering the total left ear deafness, the patient underwent retrolabyrinthine mastoidectomy. During the procedure, a mass incompatible with VS was found and a biopsy was performed, which led to a diagnosis of non-Hodgkin's lymphoma (NHL). The patient was referred to an oncologist for treatment and, in time, achieved complete remission of the lesion. This case shows us that symptoms of VS may vary in tumor size and location and that atypical presentations warrant investigation. Non-Hodgkin's lymphoma (NHL), although not among the most common differential diagnoses, should be remembered due to its varied clinical presentation broadly dependent on its subtype and dissemination.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.50965