Presentation
Decreased hearing and tinnitus on the right side.
Patient Data
Age: 50 years
Gender: Male
From the case:
Vestibular schwannoma
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A well-defined lesion is seen at the right cerebellopontine angle, it elicits intermediate T2 and low T1 signals with avid post-contrast enhancement, and it shows intracanalicular extension.
Case Discussion
Vestibular schwannoma, also known as "acoustic neuroma" is a benign tumor, with a slow growth pattern. The main presentation of the patient is sensorineural hearing loss and tinnitus. MRI is mandatory to assess tumor growth. Conservative management for slowly growing tumors shows fewer complications yet rapidly growing tumors usually need further treatment.
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