Brain with coexistent acoustic schwannoma and ependymoma

Abstract Background This particular case is a world-first with no previous literature reports on patients presenting with both benign acoustic schwannoma and malignant ependymoma. Case presentation: A 60-year-old woman with unexplained right-sided hearing loss that had worsened progressively over 4...

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Main Authors: Haofuzi Zhang, Peng Zou, Wei Lin, Xiaofan Jiang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-024-05664-0
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author Haofuzi Zhang
Peng Zou
Wei Lin
Xiaofan Jiang
author_facet Haofuzi Zhang
Peng Zou
Wei Lin
Xiaofan Jiang
author_sort Haofuzi Zhang
collection DOAJ
description Abstract Background This particular case is a world-first with no previous literature reports on patients presenting with both benign acoustic schwannoma and malignant ependymoma. Case presentation: A 60-year-old woman with unexplained right-sided hearing loss that had worsened progressively over 4 years, along with intermittent dizziness that had begun 3 years prior. Our preliminary diagnosis included: (1) Right acoustic neuroma; (2) Ependymoma of the fourth ventricle; and (3) Hydrocephalus. We employed the right sigmoid sinus posterior approach combined with the posterior median approach, beginning with removal of the fourth ventricle tumor and then proceeding to acoustic schwannomas resection through rotating operation positions. Conclusions: The case presented significant challenges owing to: The difficulty encountered in arriving at a diagnosis; The difficulty in choosing a suitable surgical approach; The complexity of the surgical sequence; The intricacy of the surgical process. It’s rare, complex, and had excellent surgical results.
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institution Kabale University
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publisher BMC
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series BMC Geriatrics
spelling doaj-art-d1ad9981cd7245df8c5495261c6de4532025-01-12T12:38:37ZengBMCBMC Geriatrics1471-23182025-01-012511410.1186/s12877-024-05664-0Brain with coexistent acoustic schwannoma and ependymomaHaofuzi Zhang0Peng Zou1Wei Lin2Xiaofan Jiang3Department of Neurosurgery, Xijing Hospital, Fourth Military Medical UniversityDepartment of Neurosurgery, Xijing Hospital, Fourth Military Medical UniversityDepartment of Neurosurgery, Xijing Hospital, Fourth Military Medical UniversityDepartment of Neurosurgery, Xijing Hospital, Fourth Military Medical UniversityAbstract Background This particular case is a world-first with no previous literature reports on patients presenting with both benign acoustic schwannoma and malignant ependymoma. Case presentation: A 60-year-old woman with unexplained right-sided hearing loss that had worsened progressively over 4 years, along with intermittent dizziness that had begun 3 years prior. Our preliminary diagnosis included: (1) Right acoustic neuroma; (2) Ependymoma of the fourth ventricle; and (3) Hydrocephalus. We employed the right sigmoid sinus posterior approach combined with the posterior median approach, beginning with removal of the fourth ventricle tumor and then proceeding to acoustic schwannomas resection through rotating operation positions. Conclusions: The case presented significant challenges owing to: The difficulty encountered in arriving at a diagnosis; The difficulty in choosing a suitable surgical approach; The complexity of the surgical sequence; The intricacy of the surgical process. It’s rare, complex, and had excellent surgical results.https://doi.org/10.1186/s12877-024-05664-0Acoustic schwannomaEpendymomaDiagnosisSurgical process
spellingShingle Haofuzi Zhang
Peng Zou
Wei Lin
Xiaofan Jiang
Brain with coexistent acoustic schwannoma and ependymoma
BMC Geriatrics
Acoustic schwannoma
Ependymoma
Diagnosis
Surgical process
title Brain with coexistent acoustic schwannoma and ependymoma
title_full Brain with coexistent acoustic schwannoma and ependymoma
title_fullStr Brain with coexistent acoustic schwannoma and ependymoma
title_full_unstemmed Brain with coexistent acoustic schwannoma and ependymoma
title_short Brain with coexistent acoustic schwannoma and ependymoma
title_sort brain with coexistent acoustic schwannoma and ependymoma
topic Acoustic schwannoma
Ependymoma
Diagnosis
Surgical process
url https://doi.org/10.1186/s12877-024-05664-0
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