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

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 intratu...

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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
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Abstract 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.
AbstractList 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.
Audience Academic
Author Kotecha, Nitin
Bhende, Bhagyashri
Mulla, Mazharkhan
Dhal, Gagan
Nayak, Naren
Diyora, Batuk
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  fullname: Nayak, Naren
  organization: Department of Neurosurgery, LTMMC & LTMG Hospital, Sion, Mumbai-400022
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Cites_doi 10.1227/00006123-199107000-00003
10.1016/j.wneu.2013.07.114
10.1016/j.ijporl.2007.06.010
10.1080/02688699844709
10.1016/j.jocn.2011.11.028
10.1007/s00701-006-1107-8
10.1227/00006123-199209000-00004
10.1016/j.wneu.2013.02.069
10.3171/2009.3.PEDS08434
10.1097/01.mao.0000188339.45772.be
10.3892/ol.2015.3058
10.3171/jns.1974.41.3.0391
10.1016/S0009-9260(05)82918-6
10.1055/s-2008-1077074
10.2176/nmc.30.972
10.3171/jns.1982.56.3.0417
10.1007/s00381-004-1064-6
10.1227/00006123-198204000-00004
10.4103/0028-3886.63775
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Keywords pediatric vestibular schwannoma
Facial nerve dysfunction
intratumoral hemorrhage
Language English
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References Vellin (key-10.4103/1817-1745.267988-8) 2006
Kojima (key-10.4103/1817-1745.267988-17) 1990
key-10.4103/1817-1745.267988-9
Allcutt (key-10.4103/1817-1745.267988-4) 1991
McCoyd (key-10.4103/1817-1745.267988-12) 1974
Wang (key-10.4103/1817-1745.267988-22) 2015
Odabasi (key-10.4103/1817-1745.267988-7) 2000
Wakai (key-10.4103/1817-1745.267988-11) 1982
Castillo (key-10.4103/1817-1745.267988-19) 1982
Samii (key-10.4103/1817-1745.267988-2) 1992
Asari (key-10.4103/1817-1745.267988-3) 1992
Guinto (key-10.4103/1817-1745.267988-5) 2014
Mazzoni (key-10.4103/1817-1745.267988-1) 2007
Karampelas (key-10.4103/1817-1745.267988-16) 2007
Ohta (key-10.4103/1817-1745.267988-13) 1998
Diyora (key-10.4103/1817-1745.267988-14) 2010
Honda (key-10.4103/1817-1745.267988-10) 2005
Takeuchi (key-10.4103/1817-1745.267988-6) 2012
Ganslandt (key-10.4103/1817-1745.267988-15) 2008
Niknafs (key-10.4103/1817-1745.267988-20) 2014
key-10.4103/1817-1745.267988-18
Walcott (key-10.4103/1817-1745.267988-21) 2009
References_xml – start-page: 14
  year: 1991
  ident: key-10.4103/1817-1745.267988-4
  article-title: Acoustic schwannomas in children
  publication-title: Neurosurgery
  doi: 10.1227/00006123-199107000-00003
  contributor:
    fullname: Allcutt
– start-page: 706
  year: 2000
  ident: key-10.4103/1817-1745.267988-7
  article-title: Tumor-associated hemorrhage in patients with acoustic neuroma
  publication-title: Am J Otol
  contributor:
    fullname: Odabasi
– ident: key-10.4103/1817-1745.267988-9
– start-page: 599
  year: 2014
  ident: key-10.4103/1817-1745.267988-5
  article-title: Intratumoral hemorrhage in vestibular schwannomas
  publication-title: World Neurosurg
  doi: 10.1016/j.wneu.2013.07.114
  contributor:
    fullname: Guinto
– start-page: 1569
  year: 2007
  ident: key-10.4103/1817-1745.267988-1
  article-title: Sporadic acoustic neuroma in pediatric patients
  publication-title: Int J Pediatr Otorhinolaryngol
  doi: 10.1016/j.ijporl.2007.06.010
  contributor:
    fullname: Mazzoni
– start-page: 455
  year: 1998
  ident: key-10.4103/1817-1745.267988-13
  article-title: Massive haemorrhage into acoustic neurinoma related to rapid growth of the tumour
  publication-title: Br J Neurosurg
  doi: 10.1080/02688699844709
  contributor:
    fullname: Ohta
– start-page: 1305
  year: 2012
  ident: key-10.4103/1817-1745.267988-6
  article-title: Vestibular schwannoma with repeated intratumoral hemorrhage
  publication-title: J Clin Neurosci
  doi: 10.1016/j.jocn.2011.11.028
  contributor:
    fullname: Takeuchi
– start-page: 313
  year: 2007
  ident: key-10.4103/1817-1745.267988-16
  article-title: Intratumoral hemorrhage after remote subtotal microsurgical resection and gamma knife radiosurgery for vestibular schwannoma
  publication-title: Acta Neurochir (Wien)
  doi: 10.1007/s00701-006-1107-8
  contributor:
    fullname: Karampelas
– start-page: 406
  year: 1992
  ident: key-10.4103/1817-1745.267988-3
  article-title: Neurinomas presenting as spontaneous intratumoral hemorrhage
  publication-title: Neurosurgery
  doi: 10.1227/00006123-199209000-00004
  contributor:
    fullname: Asari
– start-page: 751
  year: 2014
  ident: key-10.4103/1817-1745.267988-20
  article-title: Hemorrhagic vestibular schwannoma: review of the literature
  publication-title: World Neurosurg
  doi: 10.1016/j.wneu.2013.02.069
  contributor:
    fullname: Niknafs
– start-page: 125
  year: 2009
  ident: key-10.4103/1817-1745.267988-21
  article-title: Sporadic unilateral vestibular schwannoma in the pediatric population.Clinical article
  publication-title: J Neurosurg Pediatr
  doi: 10.3171/2009.3.PEDS08434
  contributor:
    fullname: Walcott
– start-page: 209
  year: 2006
  ident: key-10.4103/1817-1745.267988-8
  article-title: Intratumoral and brainstem hemorrhage in a patient with vestibular schwannoma and oral anticoagulant therapy
  publication-title: Otol Neurotol
  doi: 10.1097/01.mao.0000188339.45772.be
  contributor:
    fullname: Vellin
– start-page: 2371
  year: 2015
  ident: key-10.4103/1817-1745.267988-22
  article-title: Treatment decision–making for sporadic small vestibular schwannoma in a pediatric patient: a case report and literature review
  publication-title: Oncol Lett
  doi: 10.3892/ol.2015.3058
  contributor:
    fullname: Wang
– start-page: 391
  year: 1974
  ident: key-10.4103/1817-1745.267988-12
  article-title: Acoustic neurinoma presenting as subarachnoid hemorrhage.Case report
  publication-title: J Neurosurg
  doi: 10.3171/jns.1974.41.3.0391
  contributor:
    fullname: McCoyd
– ident: key-10.4103/1817-1745.267988-18
  doi: 10.1016/S0009-9260(05)82918-6
– start-page: 204
  year: 2008
  ident: key-10.4103/1817-1745.267988-15
  article-title: Hemorrhage into cystic vestibular schwannoma following stereotactic radiation therapy
  publication-title: Zentralbl Neurochir
  doi: 10.1055/s-2008-1077074
  contributor:
    fullname: Ganslandt
– start-page: 972
  year: 1990
  ident: key-10.4103/1817-1745.267988-17
  article-title: Massive hemorrhage in acoustic neurinoma after minor head trauma—case report
  publication-title: Neurol Med Chir (Tokyo)
  doi: 10.2176/nmc.30.972
  contributor:
    fullname: Kojima
– start-page: 417
  year: 1982
  ident: key-10.4103/1817-1745.267988-19
  article-title: Sudden hemorrhage in an acoustic neuroma.Case report
  publication-title: J Neurosurg
  doi: 10.3171/jns.1982.56.3.0417
  contributor:
    fullname: Castillo
– start-page: 926
  year: 2005
  ident: key-10.4103/1817-1745.267988-10
  article-title: Massive intratumoral hemorrhage of ependymoma of the fourth ventricle
  publication-title: Childs Nerv Syst
  doi: 10.1007/s00381-004-1064-6
  contributor:
    fullname: Honda
– start-page: 437
  year: 1982
  ident: key-10.4103/1817-1745.267988-11
  article-title: Spontaneous intracranial hemorrhage caused by brain tumor: its incidence and clinical significance
  publication-title: Neurosurgery
  doi: 10.1227/00006123-198204000-00004
  contributor:
    fullname: Wakai
– start-page: 329
  issn: 0028-3886
  year: 2010
  ident: key-10.4103/1817-1745.267988-14
  article-title: Hemorrhage in acoustic neurinoma
  publication-title: Neurol India
  doi: 10.4103/0028-3886.63775
  contributor:
    fullname: Diyora
– start-page: 696
  year: 1992
  ident: key-10.4103/1817-1745.267988-2
  article-title: Management of 1000 vestibular schwannoma (acoustic neuromas): auditory and facial nerve functions after resection of 120 VSs in patients with NF-2
  publication-title: Neurosurgery
  contributor:
    fullname: Samii
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Snippet Vestibular schwannomas (VSs) are tumors that commonly occur in the eighth cranial nerve. They are usually associated with type 2 neurofibromatosis. They are...
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StartPage 165
SubjectTerms 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
Title A unique pediatric case of intratumoral hemorrhage in a sporadic vestibular schwannoma
URI http://www.pediatricneurosciences.com/article.asp?issn=1817-1745;year=2019;volume=14;issue=3;spage=165;epage=168;aulast=Diyora;type=0
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https://pubmed.ncbi.nlm.nih.gov/PMC6798269
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