A unique pediatric case of intratumoral hemorrhage in a sporadic vestibular schwannoma

• Published in: Journal of pediatric neurosciences Vol. 14; no. 3; pp. 165 - 168
• Main Authors: Diyora, Batuk, Bhende, Bhagyashri, Kotecha, Nitin, Mulla, Mazharkhan, Dhal, Gagan, Nayak, Naren
• Format: Journal Article
• Language: English
• Published: Mumbai Wolters Kluwer India Pvt. Ltd 01-07-2019; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow
• Subjects: Acoustic neuroma; Acoustics; Adults; Age; Ataxia; B cells; Brain cancer; Care and treatment; Case Report; Case studies; Diagnosis; Headache; Headaches; Hearing loss; Hemorrhage; Mortality; Neurofibromatosis; NMR; Nuclear magnetic resonance; Patients; Pediatrics; Radiation therapy; Tinnitus; Tumors; Vertigo; Vomiting; India; pediatric vestibular schwannoma; Facial nerve dysfunction; intratumoral hemorrhage
• ISSN: 1817-1745; 1998-3948
• DOI: 10.4103/jpn.JPN_44_18

Vestibular schwannomas (VSs) are tumors that commonly occur in the eighth cranial nerve. They are usually associated with type 2 neurofibromatosis. They are uncommon in children, and sporadic cases of pediatric VS are even rarer. In general, VSs are benign lesions with less than 1% chance of intratumoral hemorrhage. Adult cases of hemorrhage in VS are well documented. We present the first pediatric case of intratumoral hemorrhage in VS in the absence of any features of NF in an 11-year-old child who complained of holocranial headache and sensorineural hearing loss in the left ear. We further discuss the pathogenesis and clinical features, and review the literature of intratumoral hemorrhage in patients of VS.