Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

A Vestibular Schwannoma Associated with Massive Intratumoral Hemorrhage

종양내 출혈을 동반한 청신경 초종

  • Jeong, Je Hoon (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Leem, Won (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Lee, Ki Taeck (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Lim, Young Jin (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Kim, Tae Sung (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Kim, Gook Ki (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Rhee, Bong Arm (Department of Neurosurgery, School of Medicine, Kyung-Hee University)
  • 정제훈 (경희대학교 의과대학 부속병원 신경외과학교실) ;
  • 임언 (경희대학교 의과대학 부속병원 신경외과학교실) ;
  • 이기택 (경희대학교 의과대학 부속병원 신경외과학교실) ;
  • 임영진 (경희대학교 의과대학 부속병원 신경외과학교실) ;
  • 김태성 (경희대학교 의과대학 부속병원 신경외과학교실) ;
  • 김국기 (경희대학교 의과대학 부속병원 신경외과학교실) ;
  • 이봉암 (경희대학교 의과대학 부속병원 신경외과학교실)
  • Received : 2000.10.02
  • Accepted : 2001.06.21
  • Published : 2001.08.28
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Abstract

The report of massive intratumoral hemorrhage from vestibular schwannoma is rare. A 66-year-old female who had suffered from disturbance of hearing for one year developed severe headache and dizziness. Brain MRI showed crescent shaped mass in the left cerebellopontine angle. A left suboccipital approach revealed an $3{\times}3cm$-sized encapsulated mass. The tumor was totally extirpated together with clot. Histologically the tumor was schwannoma with massive hemorrhage. Postoperative course was uneventful. The authors report the rare case of vestibular schwannoma presenting with intratumoral hemorrhage with review of possible pathophysiology and associated factor.

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