Vol. 5 (2021): International Journal of Case Reports
Case Reports

Unilateral Vestibular schwannoma with Pituitary macroadenoma- Rare concurrent dual intracranial lesion

Ram Moorthy1, Segana Hasan Abdul Cader2
1FRCS ENT, CONSULTANT ENT SURGEON, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Wexham, Slough, SL2 4HL,UK; 2MS ENT, DNB ENT, MRCS ENT, DLO, FEBORL, Specialty Doctor ENT, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Wexham, Slough, SL2 4HL,UK

Keywords

  • Vestibular schwannoma, field cancerization, multiple primary tumours, pituitary adenoma

How to Cite

Ram Moorthy1, Segana Hasan Abdul Cader2. (2021). Unilateral Vestibular schwannoma with Pituitary macroadenoma- Rare concurrent dual intracranial lesion. International Journal of Case Reports, 5, 189. Retrieved from https://escipub.org/index.php/IJCR/article/view/470

Abstract

The presenting clinic features of the cerebellopontine angle tumours and their management are well known, however there is limited knowledge regarding coexistence of other primary brain tumours which can be incidentally detected. A 70-year-old otherwise normal gentleman was referred from routine hearing screening programme centre with more of right sided hearing loss and occasional right sided tinnitus. Pure tone audiogram revealed an asymmetric high frequency sensorineural hearing loss .Gadolinium contrast enhanced MRI showed a right distal mass filling the entire internal acoustic meatus with an intracanalicular dural extension indenting the middle cerebellar peduncle with no significant enhancement. Additionally, an incidental enhancing asymmetric macroadenoma was detected in the pituitary sella indenting the left cavernous sinus without an extension and displacing the pituitary stalk to the right and displacing the carotids superiorly exerting insignificant pressure on the optic nerves. He had Hyperprolactinemia but normal visual fields. Here we present this rare concurrent presentation of dual intracranial primary tumours which by itself clinically is very uncommon.

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