Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report
Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report
复制标题
伴有无症状脑室扩大的小前庭神经鞘瘤放疗后难治性交通性脑积水：一例报告
DOI：
10.1016/j.radcr.2020.04.063
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发表时间：
2020
影响因子：
--
通讯作者：
Kohmura Eiji
中科院分区：
文献类型：
--
作者：
Nakahara Masahiro;Imahori Taichiro;Sasayama Takashi;Nakai Tomoaki;Taniguchi Masaaki;Komatsu Masato;Kanzawa Maki;Kohmura Eiji
交通性脑积水是一种已知的与前庭神经鞘瘤相关的肿瘤相关综合征，甚至可以发生在小肿瘤中。放射治疗已成为小神经鞘瘤的主要治疗选择，然而，对影像学上无症状脑室扩大的疗效和风险知之甚少。我们报告了1例59岁女性患者，因小型前庭神经鞘瘤伴无症状心室肥大接受放射治疗后出现难治性交通性脑积水。手术切除肿瘤后，由于间歇性腰椎穿刺，脑积水逐渐改善，最终在未放置分流管的情况下消退。手术切除应被认为是治疗的第一选择，即使病人是无症状的，图像显示一个小前庭神经鞘瘤只有轻微的脑室扩大。
Communicating hydrocephalus is a known tumor-related syndrome associated with vestibular schwannoma, which can occur even in small tumor. Radiation has become a popular primary treatment option for small schwannoma; however, little is known about the efficacy and risk accompanying asymptomatic ventriculomegaly on images. We report a case of a 59-year-old woman who suffer from refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly. After the surgical removal of the tumor, hydrocephalus was gradually improved due to intermittent lumbar puncture and finally resolved without shunt placement. Surgical removal should be considered as the first option for the treatment, even if the patient is asymptomatic and the images revealed a small vestibular schwannoma with only slight ventricular enlargement.
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