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Schwannoma - Acoustic Neuroma of CN VIII - Case 1

A 44 year-old woman presented with tinnitus of the right ear associated with right sided hearing loss.

Show the Gadolinium Enhancement of the Acoustic Neuroma

Acoustic Neuroma: T1-weighted with gadolinium coronal MRI scans. Note the small nodular mass that enhances with gadolinium. On the left image, one can see that the tumor extends laterally along the course of the vestibulocochlear nerve. On biopsy, this lesion was a schwannoma of the vestibulocochlear nerve.

Schwannomas are histologically benign tumors seen along the course of peripheral nerves, nerve roots, and cranial nerves [especially cranial nerves V (trigeminal) and VIII (vestibulocochlear)]. They may occur in isolation or in association with neurofibromatosis. They arise from the Schwann cells that create the myelin sheath around peripheral nerves. They result in symptoms when they disrupt the function of the nerve from which they arise, or cause mass effect on adjacent structures.


Revised 11/28/06.
Copyrighted 2006. David C Preston