Vestibular schwannoma coexisting with dermoid cyst: A case report

Multiple primary intracranial tumors, or the presence of two or more primary intracranial tumors, are a rare clinical occurrence. The current study presents the case of a 28-year-old patient with concurrent left vestibular schwannoma, left cerebellar hemisphere dermoid cyst and craniovertebral junct...

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Bibliographic Details
Published in:Oncology letters 2024-03, Vol.27 (3), p.1, Article 121
Main Authors: Zhao, Runsheng, Fan, Rui, Wan, Weiqing
Format: Article
Language:English
Subjects:
Acoustic neuroma
Asymmetry
Audiometry
Brain cancer
Case Report
Case reports
Cysts
Headaches
Hearing loss
Hydrocephalus
Surgery
Tumors
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Summary:Multiple primary intracranial tumors, or the presence of two or more primary intracranial tumors, are a rare clinical occurrence. The current study presents the case of a 28-year-old patient with concurrent left vestibular schwannoma, left cerebellar hemisphere dermoid cyst and craniovertebral junction malformation, specifically basilar invagination and Klippel-Feil syndrome. The patient exhibited symptoms of torticollis and recurrent headaches, with no apparent hearing loss. A far lateral approach was selected for surgical resection to address these complex conditions and achieve gross total resection in a single-stage surgery while preserving both facial and auditory nerve function. Successful gross total resection was achieved and the function of both nerves was effectively preserved. Of note, the coexistence of vestibular schwannoma and dermoid cyst in the same patient has not been documented in the existing literature. The present study provided a comprehensive account of the presentation and progression of this uncommon medical scenario. Furthermore, a surgical principle for the management of multiple primary intracranial tumors was proposed. Key words: vestibular schwannoma, dermoid cyst, multiple primary intracranial tumours, one-stage surgery
ISSN:1792-1074
1792-1082
DOI:10.3892/ol.2024.14256