2020 April Fools' Case: Normally we'd prank you with this but given the current COVID-19 crisis we decided just to release it straight up without trying to trick anyone. Hopefully you can at least still enjoy a little laugh at this difficult time - view case

Acoustic schwannoma - possible NF2

Case contributed by Dr Nick Tarasov

Presentation

Non-specific headaches, vertigo, hearing loss on the right side

Patient Data

Age: 25 years
Gender: Male

Vivid enhancing solid mass of the right vestibular nerve, intrameatal component well seen on coronal T1 Gd+ scans

The right porus acusticus internus dilatation reflects tumor slow growth

A second small contrast enhancing apparent lesion located at the 4th ventricle protruding into median aperture (of Magendie), without obstruction.

There are no diffusion restriction, susceptibility artefacts, brain remainder looks intact.

Case Discussion

A simultaneous presence of two distinct intracranial tumors, such findings in a young adult patient can be elements of MISME syndrome.

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Case information

rID: 57250
Published: 1st Sep 2019
Last edited: 30th Mar 2020
Inclusion in quiz mode: Included
Institution: USMU

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