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Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report

Communicating hydrocephalus is a known tumor-related syndrome associated with vestibular schwannoma, which can occur even in small tumor. Radiation has become a popular primary treatment option for small schwannoma; however, little is known about the efficacy and risk accompanying asymptomatic ventr...

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Autores principales: Nakahara, Masahiro, Imahori, Taichiro, Sasayama, Takashi, Nakai, Tomoaki, Taniguchi, Masaaki, Komatsu, Masato, Kanzawa, Maki, Kohmura, Eiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229413/
https://www.ncbi.nlm.nih.gov/pubmed/32435322
http://dx.doi.org/10.1016/j.radcr.2020.04.063
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author Nakahara, Masahiro
Imahori, Taichiro
Sasayama, Takashi
Nakai, Tomoaki
Taniguchi, Masaaki
Komatsu, Masato
Kanzawa, Maki
Kohmura, Eiji
author_facet Nakahara, Masahiro
Imahori, Taichiro
Sasayama, Takashi
Nakai, Tomoaki
Taniguchi, Masaaki
Komatsu, Masato
Kanzawa, Maki
Kohmura, Eiji
author_sort Nakahara, Masahiro
collection PubMed
description Communicating hydrocephalus is a known tumor-related syndrome associated with vestibular schwannoma, which can occur even in small tumor. Radiation has become a popular primary treatment option for small schwannoma; however, little is known about the efficacy and risk accompanying asymptomatic ventriculomegaly on images. We report a case of a 59-year-old woman who suffer from refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly. After the surgical removal of the tumor, hydrocephalus was gradually improved due to intermittent lumbar puncture and finally resolved without shunt placement. Surgical removal should be considered as the first option for the treatment, even if the patient is asymptomatic and the images revealed a small vestibular schwannoma with only slight ventricular enlargement.
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spelling pubmed-72294132020-05-20 Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report Nakahara, Masahiro Imahori, Taichiro Sasayama, Takashi Nakai, Tomoaki Taniguchi, Masaaki Komatsu, Masato Kanzawa, Maki Kohmura, Eiji Radiol Case Rep Neuroradiology Communicating hydrocephalus is a known tumor-related syndrome associated with vestibular schwannoma, which can occur even in small tumor. Radiation has become a popular primary treatment option for small schwannoma; however, little is known about the efficacy and risk accompanying asymptomatic ventriculomegaly on images. We report a case of a 59-year-old woman who suffer from refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly. After the surgical removal of the tumor, hydrocephalus was gradually improved due to intermittent lumbar puncture and finally resolved without shunt placement. Surgical removal should be considered as the first option for the treatment, even if the patient is asymptomatic and the images revealed a small vestibular schwannoma with only slight ventricular enlargement. Elsevier 2020-05-15 /pmc/articles/PMC7229413/ /pubmed/32435322 http://dx.doi.org/10.1016/j.radcr.2020.04.063 Text en © 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Neuroradiology
Nakahara, Masahiro
Imahori, Taichiro
Sasayama, Takashi
Nakai, Tomoaki
Taniguchi, Masaaki
Komatsu, Masato
Kanzawa, Maki
Kohmura, Eiji
Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report
title Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report
title_full Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report
title_fullStr Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report
title_full_unstemmed Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report
title_short Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report
title_sort refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: a case report
topic Neuroradiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229413/
https://www.ncbi.nlm.nih.gov/pubmed/32435322
http://dx.doi.org/10.1016/j.radcr.2020.04.063
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