Concluded Case

Acoustic Neuroma Left CP angle

67 yr ,F ,she felt dizzy and fell down on 5th october while working in the kitchen.No head ache,no vomiting ,no motor or sensory symptoms. With the help she got up ,vomited once. Evaluated locally diagnosed to have hypoglycemia Known Diabetic on oral med . Since 2 yrs she has progressive hearing loss ,evaluated before on a few occassions. Examination- Vitals stable,BP 140/ 80 mmhg . Normal higher functions and optic fundi. Intact ocular movements with gaze evoked nystagmus more prominent on the left side.5th 7th cranial nerves normal Sensory neural deafness left side.Normal other cranial nerves. Motor system gr 5/ 5 power DTRS equal bilaterally. Mild random walking abnormality ,tendency to sway to left.Alreadt ref the case to the Neurosurgeon. Surgery is fixed for 13th oct. What abnormality in the MRI? What is the diagnosis?.

LikeAnswersShare
Concluded answer

Thanks for the answers. All of you are given the appropriate answers. Thanks to all once again. MRI findings: A well defind ,smoothly lobulated solid heterogeneous extra axial lesion in the left CP angle region with an intra- canalicular component extending in to the ipsilateral internal dietary canal, widening it showing multiple areas of blooming and few cystic areas with in causing significant mass effecting the form of compression,rotation and displacement of brainstem,effacement of ipsilateral cerebellar folia & 4th ventricle.Mild preeminence of 3red and lateral ventricles . Imp Acoustic Neuroma. Surgery done .

All Answers

Thanks for the answers. All of you are given the appropriate answers. Thanks to all once again. MRI findings: A well defind ,smoothly lobulated solid heterogeneous extra axial lesion in the left CP angle region with an intra- canalicular component extending in to the ipsilateral internal dietary canal, widening it showing multiple areas of blooming and few cystic areas with in causing significant mass effecting the form of compression,rotation and displacement of brainstem,effacement of ipsilateral cerebellar folia & 4th ventricle.Mild preeminence of 3red and lateral ventricles . Imp Acoustic Neuroma. Surgery done .

Well defined mass at left CP angle with T1 hypointense, T2 iso/hype intense with significant mass effect and compression on adjacent structure Most common mass at cp angle is acoustic neuroma, f/b meningioma

Valuable opinion
0

Mam you have mentioned same history and examination for other case also (diffuse hemmorrhage SAH case). Thought this is left CP angle mass lesion with midline shift and mass effect...needs surgery

This is CP angle lesion. Other case is different.
0

Acoustic schwaannoma

Valuable opinion
0

Schawanomas tumor Mostly benign Opinion of neurosurgeon

? U/l vestibular schwannoma

Thank you@Dr. Mansukh Shah Sir.
0

SOL in left cerebello Pontine angle.vestibular neuroma should be considered

Left Acoustic neuroma(Vestibular neuroma)

Cases that would interest you